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1720172109
STEPHEN J OTERO
RUIDOSO, NM
NPI
1720172109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM MD2003-0049)
Enumeration Date
2006-10-03
Last Update Date
2008-08-15
Business Address
-- STEPHEN J OTERO MD
129 EL PASO ROAD LCMC WHITE MOUNTAIN MEDICAL ASSOCIATES
RUIDOSO, NM 88345
Phone number: 575-630-8350
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Mailing Address
-- STEPHEN J OTERO MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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