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Organization
OKAY HAROLD ODOCHA MD PC
Active
Organization
OKAY HAROLD ODOCHA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OKAY HAROLD ODOCHA MD (OWNER)
(575) 956-6633
Entity
Organization
Contact information
Practice address
1302 E 32ND ST STE A, SILVER CITY, NM 88061-7215
(575) 956-6633
(575) 956-6615
Mailing address
1302 E 32ND ST STE A, SILVER CITY, NM 88061-7215
(575) 956-6633
(575) 956-6615
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD2009-0004
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67602789
—
NM
01
—
DX4563
MEDICARE RAILROAD PTAN
NM
01
—
NM301789
MEDICARE PTAN
NM
Enumeration date
11/18/2010
Last updated
11/30/2018
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