Organization
ELIZABETH A. TURNER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L. WILLIQUETTE (OFFICE MANAGER)
(509) 325-6970
Entity
Organization
Contact information
Practice address
316 W. BOONE, SUITE 669, SPOKANE, WA 99201-2354
(509) 325-6970
(509) 326-8743
Mailing address
316 W. BOONE, SUITE 669, SPOKANE, WA 99201-2354
(509) 325-6970
(509) 326-8743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127398
—
WA
01
—
1417272204
ORGANIZATIONAL NPI (FOR MEDICAID DME)
WA
01
—
1457363269
INDIVIDUAL NPI
WA
01
—
G8879773
MEDICARE PTAN
—
Enumeration date
06/03/2010
Last updated
06/03/2010
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