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Individual

JESSICA HOLTROP BALIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-S

Contact information

Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 329-5615
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-60155
MT

Other

Enumeration date
07/28/2016
Last updated
04/20/2025
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