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NPI Code Detail

MEDICARE: DR. ERIN ALEXIS TEEPLE M.D.

MEDICARE:  DR. ERIN ALEXIS TEEPLE  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
1208C00000XColon & Rectal Surgery PhysicianMD210002868DC
2208600000XSurgery PhysicianC1-0010116DE
32086S0120XPediatric Surgery PhysicianMD458174PA
4208600000XSurgery PhysicianC7-0003453DE
52086S0120XPediatric Surgery PhysicianMD210002868DC

General Provider Information

NPI Number : 1720110166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN ALEXIS TEEPLE M.D.
Provider Business Mailing Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-2656
Fax Number : 240-531-4003
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-2656
Fax Number : 240-531-4003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 12/08/2025

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Directions to “ DR. ERIN ALEXIS TEEPLE M.D.” Practice Location

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