NPI 1083770119

Walter Ernest Balfour, OD

Practitioner Optometrist Gallup, NM

Practice location

Address: 219 W Coal Ave, Gallup, NM 87301-6305
Phone: (505) 863-6448
Fax: (505) 722-6491

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 240 (NM)

Other Optometrist providers in New Mexico →

Registry record

NPI: 1083770119
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.