Organization · Type 2 NPI

Otero County Medical Group

Vascular Surgery Physician · Alamogordo, NM

NPI number 1487080776 Active

Practice location

1212 9th St, Suite A
Alamogordo, NM 88310-5842

Call (575) 434-2613 Map

Mailing address

2689 Scenic Dr
Alamogordo, NM 88310-8700

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

6 other providers at this address

NPI record

NPI: 1487080776
Entity type: Organization (Type 2)
Issued: Sep 19, 2013
Last updated: Sep 19, 2013
Status: Active
Subpart: Yes of Otero County Medical Group

Other names

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Gcrmc General and Vascular Surgery · doing business as

Authorized official

Mr. Robert James Heckert, FACHE
CEO
(575) 443-7845

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487080776

Otero County Medical Group's National Provider Identifier is 1487080776, issued on Sep 19, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Alamogordo, NM. The record was last updated on Sep 19, 2013.