Provider Demographics
NPI:1225188865
Name:TURNER, CAROL ANNE (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ANNE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25797 CONIFER RD
Mailing Address - Street 2:B110
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-9053
Mailing Address - Country:US
Mailing Address - Phone:303-838-3355
Mailing Address - Fax:303-838-8925
Practice Address - Street 1:25797 CONIFER RD
Practice Address - Street 2:B110
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-9053
Practice Address - Country:US
Practice Address - Phone:303-838-3355
Practice Address - Fax:303-838-8925
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO29171208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01291715Medicaid