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Organization

OTERO COUNTY MEDICAL GROUP

Active
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Organization

OTERO COUNTY MEDICAL GROUP

Active
Parent organization
OTERO COUNTY MEDICAL GROUP
Other names
Champion Orthopeadics
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
2539 MEDICAL DR, SUITE 110, ALAMOGORDO, NM 88310-8720
(575) 434-2116
Mailing address
2689 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 434-1699
(575) 434-8871

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
09/18/2013
Last updated
09/18/2013
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