Healthcare Provider Details

I. General information

NPI: 1417272204
Provider Name (Legal Business Name): ELIZABETH A. TURNER, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 W BOONE AVE STE 669
SPOKANE WA
99201-2354
US

IV. Provider business mailing address

316 W BOONE AVE STE 669
SPOKANE WA
99201-2354
US

V. Phone/Fax

Practice location:
  • Phone: 509-325-6970
  • Fax: 509-326-8743
Mailing address:
  • Phone: 509-325-6970
  • Fax: 509-326-8743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH A TURNER
Title or Position: OWNER
Credential: MD
Phone: 509-325-6970