Provider Demographics
NPI:1407928583
Name:TURNER, GILBERT RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:RAY
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 N 13TH AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4968
Mailing Address - Country:US
Mailing Address - Phone:909-946-6209
Mailing Address - Fax:
Practice Address - Street 1:591 N 13TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4968
Practice Address - Country:US
Practice Address - Phone:909-946-6209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA186242086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA21395Medicare UPIN