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A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology |
| NPI # | 1558797746 |
| LBN Legal business name | OTERO COUNTY MEDICAL GROUP |
| Authorized official | ROBERT HECKERT - (CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/19/2013 |
| Last updated | 09/19/2013 - About 13 years ago |
| Identifiers | n/a |
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OTERO COUNTY MEDICAL GROUP
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OTERO COUNTY MEDICAL GROUP