Provider Demographics
NPI:1437123775
Name:TURLEY, TODD W (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:W
Last Name:TURLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 W GREENWAY RD STE 125
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-4226
Mailing Address - Country:US
Mailing Address - Phone:480-640-0513
Mailing Address - Fax:602-532-7997
Practice Address - Street 1:2525 W GREENWAY RD STE 125
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-4226
Practice Address - Country:US
Practice Address - Phone:480-640-0513
Practice Address - Fax:602-532-7997
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN46136207L00000X
AZ34623208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350417400Medicaid
AZ34623OtherAZ LIC
MNP00076653Medicare ID - Type UnspecifiedRAILROAD
MN350417400Medicaid
AZ34623OtherAZ LIC