| NPI | 1316086838 |
|---|---|
| Doing Business As | EDWARD. J. NEIDHARDT MBR |
| Entity Type | Organization |
| Authorized Contact | EDWARD JOSEPH NEIDHARDT Psychiatrist 505-988-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NM 89267) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-07-08 |