Individual
DR. PETER LYNN JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
702 N 13TH ST, ARTESIA, NM 88210-1166
(575) 748-3333
Mailing address
702 N 13TH ST, ARTESIA, NM 88210-1199
(575) 748-3333
(575) 736-8139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2010-0710
NM
207Q00000X
Family Medicine Physician
RS20070331
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92953875
—
NM
Enumeration date
06/22/2007
Last updated
07/02/2024
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