DR. JACK EBERHART, MD

Otolaryngology - Otolaryngic Allergy

Active Individual
NPI: 1215969860

Practice Address

2300 E 30TH ST
BLDG D-102
Farmington, NM 87401

Phone: (505) 327-4429

Specialties

Specialty Code Primary License
Otolaryngology - Plastic Surgery within the Head & Neck 207YX0007X No 97-223 (NM)
Otolaryngology - Otolaryngic Allergy 207YX0602X Yes 97-223 (NM)

Frequently Asked Questions

NPI 1215969860 is the National Provider Identifier for DR. JACK EBERHART, MD, a Otolaryngology - Otolaryngic Allergy provider located in Farmington, NM. This NPI was enumerated on July 6, 2006.
DR. JACK EBERHART, MD practices at 2300 E 30TH ST, BLDG D-102, Farmington, NM 87401.

Quick Facts

NPI
1215969860
Type
Individual
Enumerated
Jul 6, 2006
Last Updated
Sep 11, 2025

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