Organization
OTERO COUNTY MEDICAL GROUP
Active
Parent organization
OTERO COUNTY MEDICAL GROUP
Other names
Otero County Nephrology
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTERO COUNTY MEDICAL GROUP
Authorized official
MR. RPBERT JAMES HECKERT FACHE (CEO)
(575) 443-7845
Entity
Organization
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 446-5122
Mailing address
2689 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 434-1699
(575) 434-8871
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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