Walter Ernest Balfour O.D.

NPI 1083770119 - Optometrist - 152W00000X

NPI Details
NPI 1083770119
Gender Male
Enumeration Date 01/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
219 W COAL AVE
GALLUP NM, 87301-6305, US
Phone (505) 863-6448
Fax (505) 722-6491
Business Location
219 W COAL AVE
GALLUP NM, 87301-6305, US
Phone (505) 863-6448
Fax (505) 722-6491
Toxanomy
Taxonomy Code 152W00000X
License State New Mexico
License Number 240
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According to our database, Dr. Walter Ernest Balfour O.D. NPI is 1083770119, taxonomy code is 152W00000X and license number is 240, license state is located at New Mexico. Walter Ernest Balfour O.D. physically located at 219 W Coal Ave, Gallup NM, 87301-6305. NPI Number Walter Ernest Balfour O.D. has the Individual type.

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1083770119 NPI number is provided on an as is basis without warranty of any kind. 1083770119 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Ernest Balfour O.D. are for informational purposes only.