Individual
PHILIP HUTTON TURNBULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, PES, CSCS
Contact information
Practice address
760 PILGRIM WAY, GREEN BAY, WI 54304-5263
(920) 272-1226
(920) 496-4727
Mailing address
2381 SANTA BARBARA DR, GREEN BAY, WI 54313-5663
(920) 497-5006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
507-039
WI
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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