OTERO COUNTY MEDICAL GROUP NPI 1528494747

NPI Information

  • NPI: 1528494747
  • Provider Name: OTERO COUNTY MEDICAL GROUP
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Organization
  • Doing Business As: CHAMPION CANCER CENTER OF OTERO COUNTY
  • Address: 2559 MEDICAL DR
    SUITE G
    ALAMOGORDO, NM
    ZIP 88310
  • Phone: (575) 437-8126

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NPI Details

OTERO COUNTY MEDICAL GROUP is a medical oncology internal medicine in Alamogordo, NM. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. OTERO COUNTY MEDICAL GROUP NPI is 1528494747. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Champion Cancer Center Of Otero County.

The provider's business location address is:

2559 MEDICAL DR
SUITE G
ALAMOGORDO, NM
ZIP 88310-703
Phone: (575) 437-8126

The provider's authorized official is Robert James Heckert .
The authorized official title is Ceo and has the following contact phone number (575) 443-7845.

The enumeration date for this NPI number is 9/19/2013 and was last updated on 9/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyNo
2364SM0705XClinical Nurse SpecialistMedical-SurgicalNo
3207RX0202XInternal MedicineMedical OncologyYes

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This page was last updated on: 11/21/2025

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