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Organization
JAMAL BALOUCH, DO PC
Active
Organization
JAMAL BALOUCH, DO PC
Active
Other names
Jamal Balouch, DO PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAL BALOUCH M.D. (OWNER)
(406) 771-4500
Entity
Organization
Contact information
Practice address
1130 17TH AVE S, GREAT FALLS, MT 59405-4523
(406) 771-4500
Mailing address
12 COMMERCE CENTER DR, # D44, HENDERSON, NV 89014-2335
(702) 566-5343
(702) 566-4549
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MEDPHYSLIC34171
MT
Other
Enumeration date
01/13/2015
Last updated
01/14/2015
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