Provider Demographics
NPI:1023404449
Name:TURNER, RYAN CODDINGTON (MD, PHD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:CODDINGTON
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9183
Mailing Address - Street 2:1 MEDICAL CENTER DRIVE ROOM 4300
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9183
Mailing Address - Country:US
Mailing Address - Phone:304-293-5041
Mailing Address - Fax:304-293-4819
Practice Address - Street 1:1 MEDICAL CENTER DRIVE
Practice Address - Street 2:ROOM 4300
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9183
Practice Address - Country:US
Practice Address - Phone:304-293-5041
Practice Address - Fax:304-293-4819
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY315570207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program