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Individual

DR. ELIZABETH E TEMPLE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
616 35TH AVE, MOLINE, IL 61265-6158
(309) 797-3500
(309) 797-3540
Mailing address
616 35TH AVE, MOLINE, IL 61265-6158
(309) 797-3500
(309) 797-3540

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08125804
BLUE CROSS BLUE SHIELD
IL
05
1184390
IA
Enumeration date
01/14/2006
Last updated
09/06/2023
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