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NPI Code Detail

MEDICARE: ROY TINGUELY MD

MEDICARE:   ROY  TINGUELY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianDR.0057731CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4020026976OTHERIARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
219614OTHERIAIOWA HEALTH SOLUTIONS
351645OTHERIABLUE CROSS
5IA0106OTHERIAJOHN DEERE HEALTH

General Provider Information

NPI Number : 1275533713
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROY TINGUELY MD
Provider Business Mailing Address
First Line : 95 S PAGOSA BLVD
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-8329
Country : US
Telephone Number : 970-731-3700
Fax Number :
Provider Business Practice Location Address
First Line : 95 S PAGOSA BLVD
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-8329
Country : US
Telephone Number : 970-731-3700
Fax Number : 970-731-2362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 07/22/2020

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Directions to “ ROY TINGUELY MD” Practice Location

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