Individual
MR. RICHARD WILLIAM TEMBLADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
25 NORTH JOHNSON STREET, COATS, NC 27521-0819
(910) 897-6423
(910) 897-2540
Mailing address
25 NORTH JOHNSON STREET, COATS, NC 27521-0819
(910) 897-6423
(910) 694-0254
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102053
NC
Other
Enumeration date
02/14/2006
Last updated
09/11/2014
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