Provider Demographics
NPI:1851384317
Name:TEMPLETON, NEAL S (DO)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:S
Last Name:TEMPLETON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7808 NW 130TH TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-6220
Mailing Address - Country:US
Mailing Address - Phone:405-818-7708
Mailing Address - Fax:
Practice Address - Street 1:7808 NW 130TH TER
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-6220
Practice Address - Country:US
Practice Address - Phone:405-818-7708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1877207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100122900BMedicaid
OK175772200OtherDEPT OF LABOR
OK4352135OtherAETNA
OKOK700202Medicare PIN
OK175772200OtherDEPT OF LABOR