Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 042-0010267 | VT |
N | 208000000X | Pediatrician | 042-0010267 | VT |
NPI | 1740242171 |
---|---|
Provider Name | Clesson Turner |
First Address | Bethesda, MD 20889-0004 |
Second Address | Bethesda, MD 20889-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 26/01/2017 |