Organization
OTERO COUNTY MEDICAL GROUP
Active
Parent organization
OTERO COUNTY MEDICAL GROUP
Other names
GCRMC General and Vascular Surgery
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
1212 9TH ST, SUITE A, ALAMOGORDO, NM 88310-5842
(575) 434-2613
Mailing address
2689 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 434-1699
(575) 434-8871
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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