MEDICARE: PAUL T TEMAN M.D.

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
1	207RP1001X	Pulmonary Disease Physician	44844	MN
2	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	6273841-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700858727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL T TEMAN M.D.

Provider Business Mailing Address
First Line	:	SLEEP-WAKE CENTER, 375 CHIPETA WAY
Second Line	:	SUITE A200
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1260
Country	:	US
Telephone Number	:	801-581-2016
Fax Number	:

Provider Business Practice Location Address
First Line	:	SLEEP-WAKE CENTER, 375 CHIPETA WAY
Second Line	:	SUITE A200
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1260
Country	:	US
Telephone Number	:	801-581-2016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	08/13/2010

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