Provider Demographics
NPI:1932549243
Name:TURNER, BRETT DAVID (OTR)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:DAVID
Last Name:TURNER
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3249 W FAIRVIEW PL
Mailing Address - Street 2:207
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5412
Mailing Address - Country:US
Mailing Address - Phone:303-374-4429
Mailing Address - Fax:
Practice Address - Street 1:3249 W FAIRVIEW PL
Practice Address - Street 2:207
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5412
Practice Address - Country:US
Practice Address - Phone:303-374-4429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO309250174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist