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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
Pediatrics of Alamogordo
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 A, ALAMOGORDO, NM 88310-8703
(575) 434-1500
Mailing address
2689 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 434-1699
(575) 434-8871

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

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