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Organization
OTERO COMMUNITY CANCER CENTER
Active
Organization
OTERO COMMUNITY CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFAN KOREC MD (PHYSICIAN/CEO)
(575) 437-8126
Entity
Organization
Contact information
Practice address
2559 MEDICAL DR, SUITE G, ALAMOGORDO, NM 88310-8703
(575) 437-8126
(575) 431-8205
Mailing address
2559 MEDICAL DR, SUITE G, ALAMOGORDO, NM 88310-8703
(575) 437-8126
(575) 431-8205
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00215961
RR MEDICARE PIN
NM
Enumeration date
08/17/2006
Last updated
01/04/2008
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