Individual provider · Type 1 NPI

Jack Henry Eberhart, MD

Otolaryngic Allergy Physician · Farmington, NM

NPI number 1215969860 Active

Practice location

2300 E 30th St, Bldg D-102
Farmington, NM 87401-8990

Call (505) 327-4429 Map

Fax (505) 327-4420

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X97-223 (NM)
Otolaryngic Allergy Physician Primary 207YX0602X97-223 (NM)

Otolaryngic Allergy Physician: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

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About NPI 1215969860

Jack Henry Eberhart, MD's National Provider Identifier is 1215969860, issued on Jul 6, 2006. The primary taxonomy on file is Otolaryngic Allergy Physician (207YX0602X), and the practice location is in Farmington, NM. The record was last updated on Sep 11, 2025.