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NPI Code Detail

MEDICARE: MR. RICHARD WILLIAM TEMBLADOR PHYSICIAN ASSISTANT

MEDICARE:  MR. RICHARD WILLIAM TEMBLADOR  PHYSICIAN ASSISTANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant102053NC

General Provider Information

NPI Number : 1588638951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD WILLIAM TEMBLADOR PHYSICIAN ASSISTANT
Provider Business Mailing Address
First Line : 25 NORTH JOHNSON STREET
Second Line :
City : COATS
State : NC
Zip : 27521-0819
Country : US
Telephone Number : 910-897-6423
Fax Number : 910-694-0254
Provider Business Practice Location Address
First Line : 710 ERWIN RD
Second Line :
City : DUNN
State : NC
Zip : 28334-4522
Country : US
Telephone Number : 910-304-1212
Fax Number : 855-618-2311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 06/04/2026

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Directions to “ MR. RICHARD WILLIAM TEMBLADOR PHYSICIAN ASSISTANT” Practice Location

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