Individual
JAMES M. EIDEL
Active
Individual
JAMES M. EIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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