Provider Demographics
NPI:1932542115
Name:TUREK, RANDOLF HENRY (DVM)
Entity Type:Individual
Prefix:DR
First Name:RANDOLF
Middle Name:HENRY
Last Name:TUREK
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:DR
Other - First Name:RANDY
Other - Middle Name:HENRY
Other - Last Name:TUREK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DVM
Mailing Address - Street 1:4299 EAST RAMON ROAD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-1422
Mailing Address - Country:US
Mailing Address - Phone:760-778-9999
Mailing Address - Fax:760-778-9979
Practice Address - Street 1:4299 EAST RAMON RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-1422
Practice Address - Country:US
Practice Address - Phone:760-778-9999
Practice Address - Fax:760-778-9979
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVET15752174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0056268OtherAVMA