Individual
JAN V.T. BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1631 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4766
(505) 424-0200
(505) 424-6608
Mailing address
1631 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4766
(505) 424-0200
(505) 424-6608
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
88-5
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004689
LOVELACE
—
01
—
356703
PHCS
—
05
—
82226385
—
NM
01
—
884647
UHC
—
01
—
98066
CCN
—
01
—
NM001H10
BCBS NM
NM
01
—
PROVP11527
MOLINA
—
Enumeration date
05/27/2006
Last updated
10/31/2007
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