Provider Demographics
NPI:1174686489
Name:TEMPLE, MICHAEL ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANDREW
Last Name:TEMPLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8563 E SAN ALBERTO DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4345
Mailing Address - Country:US
Mailing Address - Phone:480-657-2282
Mailing Address - Fax:480-614-3378
Practice Address - Street 1:8563 E SAN ALBERTO DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4345
Practice Address - Country:US
Practice Address - Phone:480-657-2282
Practice Address - Fax:480-614-3378
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor