Individual
ROY TINGUELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-2362
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0057731
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125153
—
IA
01
—
020026976
RAILROAD MEDICARE
IA
01
—
19614
IOWA HEALTH SOLUTIONS
IA
01
—
51645
BLUE CROSS
IA
01
—
IA0106
JOHN DEERE HEALTH
IA
Enumeration date
07/27/2005
Last updated
07/22/2020
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