Individual
MIGUEL R BALFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1072
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1072
(317) 885-2860
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01074634A
IN
208M00000X
Hospitalist Physician
Primary
01074634A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201285820
—
IN
Enumeration date
06/02/2008
Last updated
12/08/2021
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