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Organization

SAMUEL K. TURNER D.O., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL K. TURNER JR. D.O. (PRESIDENT OF COMPANY)
(417) 782-3032
Entity
Organization

Contact information

Practice address
702 E 34TH ST, SUITE 101, JOPLIN, MO 64804-3967
(417) 782-3032
(417) 782-6466
Mailing address
702 E 34TH ST, SUITE 101, JOPLIN, MO 64804-3967
(417) 782-3032
(417) 782-6466

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
R5J96
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12848
BLUE SHIELD
05
242641702
MO
Enumeration date
09/28/2006
Last updated
01/04/2013
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