Provider Demographics
NPI:1659463552
Name:TURNER, MERLE CLINTON (DO)
Entity Type:Individual
Prefix:DR
First Name:MERLE
Middle Name:CLINTON
Last Name:TURNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 W WARNER RD.
Mailing Address - Street 2:SUITE 12
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224
Mailing Address - Country:US
Mailing Address - Phone:480-831-8457
Mailing Address - Fax:480-831-8725
Practice Address - Street 1:2905 W WARNER RD
Practice Address - Street 2:SUITE 12
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1674
Practice Address - Country:US
Practice Address - Phone:480-831-8457
Practice Address - Fax:480-831-8725
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1601208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZWCLJH01Medicare ID - Type Unspecified
D47183Medicare UPIN