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Individual

TURNER C LISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(970) 476-2451
Mailing address
PO BOX 40000, VAIL, CO 81658-7520
(970) 476-2451

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101249772
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477767168
VA
Enumeration date
05/10/2007
Last updated
11/15/2021
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