Provider Demographics
NPI:1710413489
Name:TURPIN, RAYMON (RPOA)
Entity Type:Individual
Prefix:MR
First Name:RAYMON
Middle Name:
Last Name:TURPIN
Suffix:
Gender:M
Credentials:RPOA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 S YALE AVE STE 901
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8310
Mailing Address - Country:US
Mailing Address - Phone:918-502-5975
Mailing Address - Fax:918-502-5980
Practice Address - Street 1:6565 S YALE AVE STE 901
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8310
Practice Address - Country:US
Practice Address - Phone:918-502-5975
Practice Address - Fax:918-502-5980
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier