UTHAM P BALACHANDRAN OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1669813721- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- 444 W FORT ST FL 2, BOISE, ID, 837024535
- Phone
- (208) 422-1018
Specialties & Taxonomies
Optometrist
License: PA #OEG002829
Optometrist
Primary License: MO #2015003345