Basic Information
Provider Information
NPI: 1730169376
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: WILLIAM
MiddleName: JOHN DOWLING
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1222 S PATTERSON BLVD
Address2: SUITE 400
City: DAYTON
State: OH
PostalCode: 454022684
CountryCode: US
TelephoneNumber: 9374962620
FaxNumber: 9374962610
Practice Location
Address1: 1222 S PATTERSON BLVD
Address2: SUITE 400
City: DAYTON
State: OH
PostalCode: 454022684
CountryCode: US
TelephoneNumber: 9374962620
FaxNumber: 9374962610
Other Information
ProviderEnumerationDate: 01/19/2006
LastUpdateDate: 01/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X35074632OHY Allopathic & Osteopathic PhysiciansOtolaryngology 

ID Information
IDTypeStateIssuerDescription
259729601 AETNAOTHER
31177721401 CIGNAOTHER
31177721401 GEHAOTHER
206104905OH MEDICAID
04001660601 MEDICARE RAILROADOTHER
206104901 BCMHOTHER
31177721401 BVR BDDOTHER
31177721401 CREATIVE HEALTHOTHER
31177721401 DIRECT CARE AMERICAOTHER
31177721401 HEALTH SERVICES PREFERREDOTHER
00000020877101 ANTHEMOTHER
100050401 MEDICARE COMPLETEOTHER
100056201 EVERCAREOTHER
31177721401 FIRST HEALTHOTHER
31177721402901 CARESOURCEOTHER
31177721401 AARPOTHER
31177721401 COVENANT FAMILYOTHER


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