Provider Demographics
NPI:1831154483
Name:TEMPLETON, DEBRA JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:JEAN
Last Name:TEMPLETON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:JEAN
Other - Last Name:TEMPLETON-POPEJOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2425 STOCKTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2215
Mailing Address - Country:US
Mailing Address - Phone:916-453-2068
Mailing Address - Fax:916-453-2202
Practice Address - Street 1:2425 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2215
Practice Address - Country:US
Practice Address - Phone:916-453-2068
Practice Address - Fax:916-453-2202
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-40683207XP3100X
CAA87723174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A877230Medicaid
CA00A877230Medicaid