Organization
OKAY HAROLD ODOCHA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OKAY HAROLD ODOCHA MD (OWNER)
(575) 956-6633
Entity
Organization
Contact information
Practice address
1302 E 32ND ST STE A, SILVER CITY, NM 88061-7215
(575) 956-6633
(575) 956-6615
Mailing address
1302 E 32ND ST STE A, SILVER CITY, NM 88061-7215
(575) 956-6633
(575) 956-6615
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD2009-0004
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67602789
—
NM
01
—
DX4563
MEDICARE RAILROAD PTAN
NM
01
—
NM301789
MEDICARE PTAN
NM
Enumeration date
11/18/2010
Last updated
11/30/2018
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