Individual
DYLAN C OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 HIGHWAY 54 S, ALAMOGORDO, NM 88310-7330
(575) 443-8133
(575) 443-8055
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2017-0068
NM
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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