Individual
DR. JAMES A NEIDHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
735 W ANIMAS ST, FARMINGTON, NM 87401-5616
(505) 564-6850
(505) 564-6890
Mailing address
PO BOX 1799, FARMINGTON, NM 87499-1799
(508) 564-6850
(505) 564-6890
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
86-296
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235144
—
AZ
05
—
37705
—
NM
05
—
91862961
—
CO
01
—
NM009P70
BLUE CROSS OF NEW MEXICO
NM
05
—
T0245
—
UT
Enumeration date
10/27/2006
Last updated
02/18/2010
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