Provider Demographics
NPI:1952526766
Name:DONN R TURNER DO INC.
Entity type:Organization
Organization Name:DONN R TURNER DO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-456-0011
Mailing Address - Street 1:1607 S MUSKOGEE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-5440
Mailing Address - Country:US
Mailing Address - Phone:918-456-0011
Mailing Address - Fax:918-456-0686
Practice Address - Street 1:1607 S MUSKOGEE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-5440
Practice Address - Country:US
Practice Address - Phone:918-456-0011
Practice Address - Fax:918-456-0686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2022207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK16479Medicare UPIN