Basic Information
Provider Information
NPI: 1336146752
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURK
FirstName: DAVID
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5096
Address2:  
City: BELLINGHAM
State: WA
PostalCode: 982275096
CountryCode: US
TelephoneNumber: 3607382200
FaxNumber: 3607525653
Practice Location
Address1: 4465 CORDATA PKWY
Address2:  
City: BELLINGHAM
State: WA
PostalCode: 982268037
CountryCode: US
TelephoneNumber: 3607382200
FaxNumber: 3607525653
Other Information
ProviderEnumerationDate: 06/30/2005
LastUpdateDate: 11/19/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101XMD00027860WAY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

ID Information
IDTypeStateIssuerDescription
022999201WAL&I AND CRIME VICTIMSOTHER
133614675205WA MEDICAID
P0061446501WARAILROAD MEDICAREOTHER
518937901WAAETNAOTHER
5184TU01WAREGENCEOTHER
812314305WA MEDICAID


Home