NPI | 1770972812 |
---|---|
Doing Business As | JAMAL BALOUCH, DO PC |
Entity Type | Organization |
Authorized Contact | JAMAL BALOUCH Owner 406-771-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MT MEDPHYSLIC34171) |
Enumeration Date | 2015-01-13 |
Last Update Date | 2015-01-14 |