Individual
BRUCE D. TEMPEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 VANDEN BOSCH PKWY, #A, GALLUP, NM 87301-5508
(505) 726-6980
Mailing address
1901 REDROCK DR, PFS DEPT, GALLUP, NM 87301-5683
(505) 863-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
70-208
NM
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
70-208
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10017955
LOVELACE
NM
05
—
102935
—
AZ
01
—
NM001H34
BCBS
NM
01
—
PROVP15878
MOLINA
NM
05
—
S0884
—
NM
Enumeration date
02/06/2006
Last updated
09/11/2025
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