MEDICARE: JADE TURNER MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1912242116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JADE TURNER MD PC

Provider Business Mailing Address
First Line	:	9850 S MARYLAND PKWY STE A5-316
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7146
Country	:	US
Telephone Number	:	702-366-1712
Fax Number	:	702-749-9301

Provider Business Practice Location Address
First Line	:	9850 S MARYLAND PKWY STE A5-316
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7146
Country	:	US
Telephone Number	:	702-366-1712
Fax Number	:	702-749-9301

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JADE TURNER
Credential	:	MD
Telephone Number	:	702-366-1712

Provider Enumeration Date	:	11/29/2012
Last Update Date	:	06/04/2013

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