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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