# SAN JUAN ONCOLOGY ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558446187
- **Authorized official:** JEFFREY D NEIDHART MD (MD, CEO)
- **Authorized official phone:** (505) 564-6850

## Contact information

- **Practice address:** 2325 E 30TH ST, FARMINGTON, NM 87401-8900
- **Practice address phone:** (505) 564-6850
- **Practice address fax:** (505) 564-6890
- **Mailing address:** 2325 E 30TH ST, FARMINGTON, NM 87401-8900
- **Mailing address phone:** (505) 564-6850
- **Mailing address fax:** (505) 564-6890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 06/24/2021