Provider Demographics
NPI:1073562344
Name:TURNER, POLLY J (MD)
Entity Type:Individual
Prefix:DR
First Name:POLLY
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1855 E SOUTHERN AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5894
Mailing Address - Country:US
Mailing Address - Phone:480-838-7065
Mailing Address - Fax:480-491-7353
Practice Address - Street 1:1855 E SOUTHERN AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5894
Practice Address - Country:US
Practice Address - Phone:480-838-7065
Practice Address - Fax:480-491-7353
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-06
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ13389207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0037690OtherBCBS PROVIDER NUMBER
AZ52893701Medicaid
AZ1Z1092OtherHEALTH NET PROVIDER #
D37769Medicare UPIN
AZZ$$$$$$$$$Medicare PIN