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Organization
OTERO COUNTY MEDICAL GROUP
Active
Organization
OTERO COUNTY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JAMES HECKERT FACHE (CEO)
(575) 443-7845
Entity
Organization
Contact information
Practice address
2689 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 434-1699
(575) 434-8871
Mailing address
2689 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 434-1699
(575) 434-8871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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