Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | DC11675 | CA |
Y | 213ER0200X | Radiology | DC11675 | CA |
NPI | 1104813708 |
---|---|
Provider Name | Richard Charles Turner |
First Address | Chico, CA 95926-2628 |
Second Address | Chico, CA 95926-2628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 08/07/2007 |