1538880687 NPI number — MARK TURPEN MD

Table of content: TONIA MARIE ARNETTE PTA (NPI 1962615385)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538880687 NPI number — MARK TURPEN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARK TURPEN MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538880687
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
225 OAK DR STE 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURANGO
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81301-7216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-884-2533
Provider Business Mailing Address Fax Number:
970-360-1130

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 PROSPECTOR AVE STE 203
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURANGO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81301-7940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-516-1404
Provider Business Practice Location Address Fax Number:
970-360-1130
Provider Enumeration Date:
09/07/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ELLIOTT
Authorized Official First Name:
AHNE
Authorized Official Middle Name:
C
Authorized Official Title or Position:
BILLING MGR
Authorized Official Telephone Number:
970-749-2755

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)