Individual
JOHN CRAIG EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPSGT
Contact information
Practice address
3810 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 843-8758
(505) 843-8759
Mailing address
6500 JEFFERSON ST NE, SUITE 100, ALBUQUERQUE, NM 87109-3489
(505) 843-8758
(505) 843-8759
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
92-278
NM
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
2581
NM
227800000X
Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
246Z00000X
Other Specialist/Technologist
Primary
2581
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81323395
—
NM
05
—
95877321
—
NM
Enumeration date
10/10/2005
Last updated
12/11/2018
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