Whalio Doctors

NPI 1831495530

Deette Balfourd, CPCP

Practitioner Other Technician Missoula, MT

Practice location

Address
1821 South Ave W 404, Missoula, MT 59801-6517
Phone
(406) 370-3705
Mailing address
382 Stagecoach Trl, Florence, MT 59833-6981

Registered specialties

Other Technician Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 10049 (MT)

Registry record

NPI
1831495530
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Jan 2011
Record last updated
28 Jan 2011

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.