Carl Thornblade, Md, Pllc

NPI #1750557690 in Missoula, Montana

Provider Information

NPI Number: 1750557690
Entity Type: Organization
Organization Name: Carl Thornblade, Md, Pllc
Primary Specialty: Allergy & Immunology
Enumeration Date: Apr 30, 2008
Last Updated: Feb 4, 2019

Practice Location

Address: 2801 GREAT NORTHERN LOOP STE 101
City: Missoula
State: Montana
ZIP Code: 59808
Phone: (406) 728-6472

Authorized Official

Name: DR. CARL EDWARD THORNBLADE, MD
Title: ALLERGIST/OWNER
Phone: (406) 728-6472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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