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Individual

DR. RODERICK RANDOLPH TURNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5890
(530) 543-0124
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
14958
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G43344
CA

Other

Enumeration date
05/15/2006
Last updated
08/16/2016
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