Individual
MATTHEW TAMPLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 MORAGA WAY STE G, ORINDA, CA 94563-3019
(925) 444-0824
Mailing address
4530 E SHEA BLVD STE 180, PHOENIX, AZ 85028-6042
(602) 264-4834
(602) 254-5178
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
64664
AZ
207Y00000X
Otolaryngology Physician
ME130782
FL
207YS0123X
Facial Plastic Surgery Physician
64664
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021413300
—
FL
01
—
YD6TC
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/09/2012
Last updated
11/28/2022
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