Individual provider · NPI-1

James Eagle

Specialist/Technologist, Athletic Trainer · Santa Fe, NM

NPI number1265081285
StatusActive
Last updated in NPPESSep 11, 2019

Details

NPI
1265081285
Entity type
Individual (NPI-1)
Name
James Eagle
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 11, 2019
Last updated
Sep 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

21 Cougar Rdg
Santa Fe, NM 87505-8196

Phone 831-915-5302

Mailing address

21 Cougar Rdg
Santa Fe, NM 87505-8196

Phone 831-915-5302

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