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Individual

MRS. IVETTE C TURNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1109 W CLAY RD, VERSAILLES, MO 65084-1177
(573) 378-2349
(888) 979-8868
Mailing address
210 N MARKET ST, MILAN, MO 63556-1316

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R1K66
MO
208000000X
Pediatrics Physician
Primary
R1K66
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205370919
MO
01
36292011
BCBS
Enumeration date
11/29/2005
Last updated
07/19/2021
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