Jacob Blaine Oldham

NPI 1033109632 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1033109632
Gender Male
Enumeration Date 10/25/2005
Last Updated 10/12/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2050 2ND ST SE
KIRTLAND AFB NM, 87117-5524, US
Phone (505) 846-3174
Fax
Business Location
2050 2ND ST SE
KIRTLAND AFB NM, 87117-5524, US
Phone
Fax
Toxanomy
Taxonomy Code 207X00000X
License State New Mexico
License Number MD2005-0490
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According to our database, Dr. Jacob Blaine Oldham NPI is 1033109632, taxonomy code is 207X00000X and license number is MD2005-0490, license state is located at New Mexico. Jacob Blaine Oldham physically located at 2050 2nd St Se, Kirtland Afb NM, 87117-5524. NPI Number Jacob Blaine Oldham has the Individual type.

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1033109632 NPI number is provided on an as is basis without warranty of any kind. 1033109632 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Blaine Oldham are for informational purposes only.