Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMAL ABDUL YASSER BALOUCH, DO
ActivePain Medicine (PM&R) · GREAT FALLS, MT
Registration Details
- NPI Number
- 1922254705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2008 (17.68732943747 yrs)
- Last Updated
- Mar 29, 2021
- License
-
34171 (MT)
Practice Information
- Address
-
500 15TH AVE SGREAT FALLS, MT, 594054324Browse MT providers · Browse ZIP 59405
- Phone
- 4064555000
- Fax
- 4067318318
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.