Provider Demographics
NPI:1023172004
Name:TURMAN, SAM PHILLIP
Entity type:Individual
Prefix:
First Name:SAM
Middle Name:PHILLIP
Last Name:TURMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 DIAS PL APT A
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4749
Mailing Address - Country:US
Mailing Address - Phone:760-207-6598
Mailing Address - Fax:
Practice Address - Street 1:1ST BATTALIOON 3D MARINES 3D MARDIV FMF
Practice Address - Street 2:HEAEDQUARTERS AND SERVICE COMPANY
Practice Address - City:MCBH KANEOHE BAY
Practice Address - State:HI
Practice Address - Zip Code:96863
Practice Address - Country:US
Practice Address - Phone:808-257-5131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman