| NPI | 1528494747 |
|---|---|
| Doing Business As | CHAMPION CANCER CENTER OF OTERO COUNTY |
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES HECKERT CEO 575-443-7845 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |