| Champion Medical Group | |
|
923 9th St Suite A Alamogordo NM 88310-6431 | |
| (575) 446-5900 | |
| Not Available |
| Full Name | Champion Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 923 9th St, Alamogordo, New Mexico |
| Authorized Official Name and Position | Robert James Heckert (CEO) |
| Authorized Official Contact | 5754437845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Medical Group 2689 Scenic Dr Alamogordo NM 88310-8700 Ph: (575) 434-1699 | Champion Medical Group 923 9th St Suite A Alamogordo NM 88310-6431 Ph: (575) 446-5900 |
| NPI Number | 1316372352 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316372352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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