Provider Demographics
NPI:1457769499
Name:TURNER ORTHOTICS AND PROSTHETICS LLC
Entity Type:Organization
Organization Name:TURNER ORTHOTICS AND PROSTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED ORTHOTIST, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:707-301-8989
Mailing Address - Street 1:413 MELISSA CT
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-7528
Mailing Address - Country:US
Mailing Address - Phone:707-301-8989
Mailing Address - Fax:707-447-7080
Practice Address - Street 1:413 MELISSA CT
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-7528
Practice Address - Country:US
Practice Address - Phone:707-301-8989
Practice Address - Fax:707-447-7080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier