| Kofi Bomfo Turkson, MD | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
| (928) 729-8000 | |
| Not Available |
| Full Name | Kofi Bomfo Turkson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538101142 | NPI | - | NPPES |
| 100500913 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10409 (Nevada) | Primary |
| Entity Name | San Miguel Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114920717 PECOS PAC ID: 1254226079 Enrollment ID: O20040219000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Kofi Bomfo Turkson, MD Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Kofi Bomfo Turkson, MD Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
Nancy Michelle Inforzato, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. James Edward Coyle Ii, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Michael Lewis Tutt, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Usphs Ihs Federal Facility, Fort Defiance Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Austin Shuxiao, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Steve Granada, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Aaron Joseph Price, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Ronny Santosa, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |