Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 34007818 | OH |
NPI | 1164432001 |
---|---|
Provider Name | Dr. Sandy Danielle Turner |
First Address | Springfield, OH 45503-1117 |
Second Address | Springfield, OH 45503-1117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 06/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2446482 | (05) | OH |
H98898 | (02) | OH |
P00280297 | RAILROAD MEDICARE (01) | OH |