Provider Demographics
NPI:1417272204
Name:ELIZABETH A. TURNER, MD
Entity Type:Organization
Organization Name:ELIZABETH A. TURNER, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-325-6970
Mailing Address - Street 1:316 W BOONE AVE
Mailing Address - Street 2:STE 669
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2354
Mailing Address - Country:US
Mailing Address - Phone:509-325-6970
Mailing Address - Fax:509-326-8743
Practice Address - Street 1:316 W BOONE AVE
Practice Address - Street 2:STE 669
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2354
Practice Address - Country:US
Practice Address - Phone:509-325-6970
Practice Address - Fax:509-326-8743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1127398Medicaid
WAG8879773OtherMEDICARE PTAN
WA6222620001OtherMEDICARE DME PTAN