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Organization
OTERO COUNTY MEDICAL GROUP
Active
Organization
OTERO COUNTY MEDICAL GROUP
Active
Parent organization
OTERO COUNTY MEDICAL GROUP
Other names
Center for Women's Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTERO COUNTY MEDICAL GROUP
Authorized official
MR. ROBERT JAMES HECKERT FACHE (CEO)
(575) 443-7845
Entity
Organization
Contact information
Practice address
2559 MEDICAL DR, SUITE D, ALAMOGORDO, NM 88310-8703
(575) 434-2229
Mailing address
2689 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 434-1699
(575) 434-8871
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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