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Contact Information

JAMAL A BALOUCH, DO
500 15TH AVE S
GREAT FALLS, MT59405-4324
 Phone: 406-455-5000
 Fax: 406-731-8318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JAMAL A BALOUCH · (Male)

NPI # 1922254705
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/13/2008
Last updated 03/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 34171
  • NC Medicaid 5919902
  • SC Medicaid NC1545
Hospital affiliation(s)
  • FLAGSTAFF MEDICAL CENTER - (Acute Care)
    1200 NORTH BEAVER STREET
    FLAGSTAFF, AZ 86001
  • LITTLE COLORADO MEDICAL CENTER - (Critical Access)
    1501 NORTH WILLIAMSON AVENUE
    WINSLOW, AZ 86047
  • ST JOSEPH'S HOSPITAL AND MEDICAL CENTER - (Acute Care)
    350 WEST THOMAS ROAD
    PHOENIX, AZ 85013
  • VERDE VALLEY MEDICAL CENTER - (Acute Care)
    269 SOUTH CANDY LANE
    COTTONWOOD, AZ 86326
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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