Organization
ANTHONY W. SHEPLAY, MD, DBA: TEMPLETON SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS CANNON MD (SECRETARY)
(805) 434-5428
Entity
Organization
Contact information
Practice address
1105 LAS TABLAS RD, SUITE E, TEMPLETON, CA 93465-9731
(805) 434-5428
Mailing address
1105 LAS TABLAS RD, SUITE E, TEMPLETON, CA 93465-9731
(805) 434-5428
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
5051165A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S051165A
MEDICARE PTAN
CA
Enumeration date
09/13/2006
Last updated
07/02/2008
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