Doctor Name: | BRYAN TURNER |
NPI Number: | 1700834991 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM, MD |
License Number: | 2621351205 |
Business Practice Address: | 10393 S 1300 W #102 South Jordan, UT - 840958883 |
Business Phone Number: | 8013025827 |
Business Fax Number: | |
Mailing Address: | 10393 S 1300 W, #102 SOUTH JORDAN |
State: | UT |
Postal Code: | 840958883 |
Phone Number: | 8013025827 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2621351205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |