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Dr. Jack Henry Eberhart, MD
Otolaryngic Allergy Physician in Farmington, New Mexico
NPI 1215969860

Jack Henry Eberhart is a Otolaryngic Allergy Physician based in Farmington, NM and is specialized in Otolaryngic Allergy. Jack Henry Eberhart practices in Farmington, NM and has the professional credentials of MD. The NPI Number for Jack Henry Eberhart is 1215969860 and holds a License No. 97-223 (New Mexico).

The current practice location address for Jack Henry Eberhart is 2300 E 30Th St, Farmington, NM and can be reached out via phone at 505-327-4429 and via fax at 505-327-4420. You can also correspond with Jack Henry Eberhart through the mailing address at 2300 E 30TH ST, FARMINGTON, NM - 87401-8990 (mailing address contact number: 505-327-4429).

Location: 2300 E 30Th St, Farmington, NM, 87401-8990
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215969860
Provider Name
Jack Henry Eberhart
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2300 E 30Th St, Farmington, NM, 87401-8990
Phone Number
505-327-4429
Fax Number
505-327-4420
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R7435 05 NM
institution
Provider Business Practice Location Address Details
Address
2300 E 30Th St
City
Farmington
State
New Mexico
Zip
87401-8990
Phone Number
505-327-4429
Fax Number
505-327-4420
person
Provider Business Mailing Address Details
Address
2300 E 30Th St
City
Farmington
State
New Mexico
Zip
87401-8990
Phone Number
505-327-4429
Fax Number
505-327-4420
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
97-223 (New Mexico)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
207YX0602X
License No.
97-223 (New Mexico)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
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