Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 39466 | KY |
N | 111NI0900X | Internist | 39466 | KY |
Y | 207RA0201X | Internist - Allergy & Immunology | 2009029460 | MO |
N | 207RA0201X | Internist - Allergy & Immunology | 39466 | KY |
NPI | 1093729972 |
---|---|
Provider Name | James Temprano |
First Address | Saint Louis, MO 63126-1829 |
Second Address | Saint Louis, MO 63126-1829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 13/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093729972 | (05) | MO |
64105174 | (05) | KY |
I39737 | (02) | |
P01175997 | RAILROAD MEDICARE (01) | MO |