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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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