Organization
OTERO COUNTY MEDICAL GROUP
Active
Parent organization
OTERO COUNTY MEDICAL GROUP
Other names
Gerald Champion Sleep Center
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
2474 INDIAN WELLS RD, ALAMOGORDO, NM 88310-3845
(575) 434-6000
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
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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