Blue Whale, INC
NPI #1487051066 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1487051066
- Entity Type
- Organization
- Organization Name
- Blue Whale, INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 26, 2014
- Last Updated
- Dec 7, 2017
Practice Location
- Address
- 9935 COORS BYP NW
- Address 2
- STE B
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87114-6195
- Phone
- (505) 899-8993
Authorized Official
- Name
- DR. WILLIS S MUNCEY, OD
- Title
- OWNER
- Phone
- (505) 899-8993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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