Healthcare Provider Details

I. General information

NPI: 1275501470
Provider Name (Legal Business Name): SCOTT P TURNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 N HIGHWAY 66 SUITE D
CATOOSA OK
74015-3071
US

IV. Provider business mailing address

PO BOX 1987
CATOOSA OK
74015-1987
US

V. Phone/Fax

Practice location:
  • Phone: 918-739-3600
  • Fax: 918-739-3610
Mailing address:
  • Phone: 918-739-3600
  • Fax: 918-739-3610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number23840
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: