Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0102049942 | VA |
Y | 207Q00000X | Family Doctor | 0102049942 | VA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0102049942 | VA |
NPI | 1205874708 |
---|---|
Provider Name | John Thomas Turski III |
First Address | Bastian, VA 24314-4547 |
Second Address | Bastian, VA 24314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 07/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D71648 | (02) | VA |