Blue Whale, Inc.

NPI #1891991543 in Albuquerque, New Mexico

Provider Information

NPI Number
1891991543
Entity Type
Organization
Organization Name
Blue Whale, Inc.
Primary Specialty
Optometrist
Enumeration Date
Jun 21, 2007
Last Updated
Jul 20, 2007

Practice Location

Address
10028 COORS BLVD NW
ZIP Code
87114-4393
Phone
(505) 898-7760

Authorized Official

Name
DR. WILLIS SHERMAN MUNCEY, O.D.
Title
OPTOMETRIST
Phone
(505) 898-7760

Specialties & Taxonomy Codes

Specialty
Optometrist

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