Provider Demographics
NPI:1972866747
Name:THOMAS BOWHAY MD & TERRENCE C TURPEN PAC
Entity Type:Organization
Organization Name:THOMAS BOWHAY MD & TERRENCE C TURPEN PAC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:TURPEN
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:209-223-7784
Mailing Address - Street 1:PO BOX 258
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:CA
Mailing Address - Zip Code:95642-0258
Mailing Address - Country:US
Mailing Address - Phone:209-223-7784
Mailing Address - Fax:209-223-7783
Practice Address - Street 1:601 COURT ST
Practice Address - Street 2:SUITE 210
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642-2160
Practice Address - Country:US
Practice Address - Phone:209-223-7784
Practice Address - Fax:209-223-7783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty