Otero, Stephen J

Otero, Stephen J is an individual health care provider with primary practice located at 129 El Paso Road Lcmc White Mountain Medical Associates, Ruidoso NM 88345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Otero, Stephen J can be contacted via phone (575) 630-8350.

Contact Information

Primary practice address
129 El Paso Road Lcmc White Mountain Medical Associates Ruidoso NM 88345
Phone: (575) 630-8350
Fax: (575) 257-4055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2003-0049 New Mexico

Profile Details

NPI number 1720172109
LBN Legal business name Otero, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720172109 NPPES
New Mexico MEDICAID 17351235

Popular Providers