Organization
ASPEN REHAB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL BALOUCH MD (MEMBER)
(406) 868-5532
Entity
Organization
Contact information
Practice address
1851 N GEMINI DR STE A, FLAGSTAFF, AZ 86001-1607
(480) 821-9339
Mailing address
PO BOX 2510, MESA, AZ 85214-2510
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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