Whalio Doctors

NPI 1215969860

Jack Henry Eberhart, MD

Practitioner Otolaryngic Allergy Physician Farmington, NM

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
Allopathic & Osteopathic Physicians Taxonomy 207YX0602X Licence 97-223 (NM)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 97-223 (NM)

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.