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Individual

DANIEL E TEMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
528 CAPITOLA AVE, CAPITOLA, CA 95010-2750
(831) 475-1630
(831) 475-1629
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A162901
CA

Other

Enumeration date
07/08/2016
Last updated
08/20/2023
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