NPI 1215969860
Jack Henry Eberhart, MD
Practice location
- Address
- 2300 E 30th St Bldg D-102, Farmington, NM 87401-8990
- Phone
- (505) 327-4429
- Fax
- (505) 327-4420
Registered specialties (2)
Otolaryngic Allergy Physician
Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Registry record
- NPI
- 1215969860
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jul 2006
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.