STEPHEN J OTERO

RUIDOSO, NM
NPI1720172109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  MD2003-0049)
Enumeration Date2006-10-03
Last Update Date2008-08-15
Business Address
-- STEPHEN J OTERO MD
129 EL PASO ROAD LCMC WHITE MOUNTAIN MEDICAL ASSOCIATES
RUIDOSO, NM 88345
Phone number: 575-630-8350
Mailing Address
-- STEPHEN J OTERO MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356