Individual
MITCHELL EVAN TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2483
(504) 846-9646
Mailing address
1290 COMMERCIAL ST, WEYMOUTH, MA 02189-2216
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
326378
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
326378
LA
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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