Individual
DR. MARK CLIFFTON TEMPLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5063 S COTTONWOOD ST, SUITE 160, MURRAY, UT 84107-6766
(801) 507-1850
(801) 507-1875
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-1850
(801) 507-1875
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
183629-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840489599001
—
UT
Enumeration date
04/04/2007
Last updated
01/26/2017
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