Graduated: 2020
NPI: 1205461522
Practice Locations (4)
OTERO COUNTY HOSPITAL ASSOCIATION
2669 SCENIC DR
ALAMOGORDO, NM 883108700
5054396100
FEDKO EMERGENCY PHYSICIANS NEW MEXICO, LLC
1016 E ROOSEVELT AVE
GRANTS, NM 870202118
5052874446
CIBOLA GENERAL HOSPITAL CORPORATION
1016 E ROOSEVELT AVE
GRANTS, NM 870202118
CIBOLA GENERAL HOSPITAL CORPORATION
1423 E ROOSEVELT AVE, CIBOLA GENERAL HOSPITAL
GRANTS, NM 870202118
5052876500
Source: CMS National Downloadable File, September 2026.