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NPI Code Detail

MEDICARE: DR. MARK CLIFFTON TEMPLEMAN M.D.

MEDICARE:  DR. MARK CLIFFTON TEMPLEMAN  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
1208000000XPediatrics Physician183629-1205UT

Other Identifiers

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

General Provider Information

NPI Number : 1922120468
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK CLIFFTON TEMPLEMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-507-1850
Fax Number : 801-507-1875
Provider Business Practice Location Address
First Line : 5063 S COTTONWOOD ST
Second Line : SUITE 160
City : MURRAY
State : UT
Zip : 84107-6766
Country : US
Telephone Number : 801-507-1850
Fax Number : 801-507-1875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 01/26/2017

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Directions to “ DR. MARK CLIFFTON TEMPLEMAN M.D.” Practice Location

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