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NPI Code Detail

MEDICARE: PHILIP ANTHONY TEMPLETON M.D.

MEDICARE:   PHILIP ANTHONY TEMPLETON  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
12085R0202XDiagnostic Radiology PhysicianD30297MD

General Provider Information

NPI Number : 1902855042
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP ANTHONY TEMPLETON M.D.
Provider Business Mailing Address
First Line : 1302 UPPER GLENCOE RD
Second Line :
City : SPARKS
State : MD
Zip : 21152-9371
Country : US
Telephone Number : 410-472-3275
Fax Number : 410-472-9477
Provider Business Practice Location Address
First Line : 1302 UPPER GLENCOE RD
Second Line :
City : SPARKS
State : MD
Zip : 21152-9371
Country : US
Telephone Number : 410-472-3275
Fax Number : 410-472-9477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 07/08/2007

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