Individual
PETER TEMPEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1650
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
96-148
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020031895
RAILROAD MEDICARE
—
01
—
10002108
LOVELACE HEALTH/SALUD
NM
01
—
201009894
PRESBYTERIAN HEALTH/SALUD
NM
05
—
372376
—
AZ
01
—
85031326887301A096
CHAMPUS
—
05
—
L8841
—
NM
01
—
NM002030
BCBS
NM
01
—
PROVP16408
MOLINA
—
Enumeration date
02/06/2006
Last updated
02/27/2014
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