MEDICARE: NEAL S TEMPLETON DO

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	207L00000X	Anesthesiology Physician	1877	OK

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
2	175772200	OTHER	OK	DEPT OF LABOR
3	4352135	OTHER	OK	AETNA

General Provider Information

NPI Number	:	1851384317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEAL S TEMPLETON DO

Provider Business Mailing Address
First Line	:	7808 NW 130TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-6220
Country	:	US
Telephone Number	:	405-818-7708
Fax Number	:

Provider Business Practice Location Address
First Line	:	7808 NW 130TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-6220
Country	:	US
Telephone Number	:	405-818-7708
Fax Number	:

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	03/17/2018

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Directions to “ NEAL S TEMPLETON DO” Practice Location

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