Organization
TURNBAUGH SURGICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE SCHWALLER PH.D. (ADMINISTRATOR)
(573) 230-3631
Entity
Organization
Contact information
Practice address
1616 SOUTHRIDGE DR, SUITE 202, JEFFERSON CITY, MO 65109-5677
(573) 636-5450
(573) 636-7906
Mailing address
1616 SOUTHRIDGE DR, SUITE 202, JEFFERSON CITY, MO 65109-5677
(573) 636-5450
(573) 636-7906
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R9C84
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201828548
—
MO
Enumeration date
05/17/2007
Last updated
12/26/2019
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