NPI Profile for Dr JACK H EBERHART in FARMINGTON, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Otolaryngic Allergy |
207YX0602X | 04 | Physician/Otolaryngology | |
Plastic Surgery within the Head & Neck |
207YX0007X | 04 | Physician/Otolaryngology |
| NPI Number | 1215969860 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/06/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JACK H EBERHART
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