Stephen J Otero MD

NPI 1720172109 - Family Medicine - 207Q00000X

NPI Details
NPI 1720172109
Gender Male
Enumeration Date 10/03/2006
Last Updated 08/15/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
129 EL PASO ROAD
LCMC WHITE MOUNTAIN MEDICAL ASSOCIATES
RUIDOSO NM, 88345, US
Phone (575) 630-8350
Fax (575) 257-4055
Business Location
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE NM, 87125-6666, US
Phone (505) 923-5356
Fax (505) 923-5354
Toxanomy
Taxonomy Code 207Q00000X
License State New Mexico
License Number MD2003-0049
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According to our database, Stephen J Otero MD NPI is 1720172109, taxonomy code is 207Q00000X and license number is MD2003-0049, license state is located at New Mexico. Stephen J Otero MD physically located at 129 El Paso Road, Ruidoso NM, 88345. NPI Number Stephen J Otero MD has the Individual type.

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1720172109 NPI number is provided on an as is basis without warranty of any kind. 1720172109 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen J Otero MD are for informational purposes only.