Individual
GREGORY J BALMFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 747-4455
(509) 363-7064
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 747-4455
(509) 363-7064
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00047390
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780602367
NPI
WA
Enumeration date
07/18/2006
Last updated
01/22/2013
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