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Contact Information

WALTER E BALFOUR, OD
219 W COAL AVE
GALLUP, NM87301-6305
 Phone: 505-863-6448
 Fax: 505-722-6491
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WALTER E BALFOUR · (Male)

NPI # 1083770119
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 240
  • NM Medicaid P-2736
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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