Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | G60135 | CA |
NPI | 1003847450 |
---|---|
Provider Name | Dr. Richard B Turner |
First Address | Chico, CA 95926-2242 |
Second Address | Paradise, CA 95969-3674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A53553 | (02) | CA |
ZZZ201920Z | BLUE SHIELD (01) | CA |