Healthcare Provider Details

I. General information

NPI: 1427028687
Provider Name (Legal Business Name): DAVID BRYAN TURTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 JOHN PAUL JONES CIR
PORTSMOUTH VA
23708-2111
US

IV. Provider business mailing address

3105 CELBRIDGE CT
VIRGINIA BEACH VA
23452-6187
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-1111
  • Fax:
Mailing address:
  • Phone: 757-233-0036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number0101230998
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: