Individual
MR. BRETT J TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Mailing address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA10004189
WA
363A00000X
Physician Assistant
Primary
PA-1380
ID
363A00000X
Physician Assistant
PA10004189
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194999
LABOR & INDUSTRIES
WA
05
—
8326225
—
WA
01
—
P00246539
RR MEDICARE
—
Enumeration date
07/18/2006
Last updated
08/16/2016
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