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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
207VG0400X
Gynecology Physician
367A00000X
Advanced Practice Midwife

Other

Enumeration date
09/13/2013
Last updated
09/13/2013
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