Individual
DR. CLARENCE A TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 US HIGHWAY 61, SUITE 210, FESTUS, MO 63028
(636) 933-8050
(636) 933-8075
Mailing address
1400 US HIGHWAY 61, SUITE 210, FESTUS, MO 63028-4100
(636) 933-8050
(636) 933-8075
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40911
KY
207X00000X
Orthopaedic Surgery Physician
D1080
TX
207X00000X
Orthopaedic Surgery Physician
MD19206
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000521650
BCBS
KY
05
—
100154820A
—
OK
05
—
1027807-01
—
TX
05
—
112502001
—
AR
05
—
7100018370
—
KY
Enumeration date
07/18/2005
Last updated
02/27/2020
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