Individual
JAMES M. EIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-5811
(760) 872-5843
Mailing address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-5811
(760) 872-5843
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
99-39
NM
207L00000X
Anesthesiology Physician
Primary
G202421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050067169
RR MEDICARE
—
01
—
NM009D28
BCBS OF NM
NM
05
—
Z4898
—
NM
Enumeration date
02/23/2006
Last updated
05/13/2025
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