Individual
MR. JAMAL ABDUL YASSER BALOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 15TH AVE S, GREAT FALLS, MT 59405-4324
(406) 455-5000
(406) 731-8318
Mailing address
500 15TH AVE S, GREAT FALLS, MT 59405-4324
(406) 455-5000
(406) 731-8318
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
34171
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919902
—
NC
05
—
NC1545
—
SC
Enumeration date
08/13/2008
Last updated
03/29/2021
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