Provider Demographics
NPI:1841215993
Name:TURNER, RAYMOND MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:MARK
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 1:517 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4020
Mailing Address - Country:US
Mailing Address - Phone:702-438-4694
Mailing Address - Fax:702-438-4693
Practice Address - Street 1:517 ROSE ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4020
Practice Address - Country:US
Practice Address - Phone:702-438-4694
Practice Address - Fax:702-438-4693
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMD6140207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV20-19087Medicaid
NVVMD6140Medicare ID - Type UnspecifiedPROVIDER #
NVFO6861Medicare UPIN