Organization
CLARENCE TEMPLE MD PLLC
Active
Organization
CLARENCE TEMPLE MD PLLC
Active
Other names
Madisonville Orthopaedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE A TEMPLE MD (OWNER)
(270) 825-7200
Entity
Organization
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7470
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40911
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP223
TEMPORARY STATE MEDICAL
KY
Enumeration date
05/16/2007
Last updated
01/12/2009
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