Individual
DR. GRAHAM ARON BALCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
51530 HUNTINGTON RD, SUITE #1, LA PINE, OR 97739-7507
(541) 536-2911
(541) 536-2913
Mailing address
PO BOX 3120, LA PINE, OR 97739-3120
(541) 536-2911
(541) 536-2913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3178ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274547
—
OR
Enumeration date
07/19/2006
Last updated
01/02/2009
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