MR. Blaine Michael Thorp, OD

NPI #1780319954 in Angola, Indiana

Provider Information

NPI Number: 1780319954
Entity Type: Individual
Name: MR. Blaine Michael Thorp, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 20, 2022
Last Updated: Jul 20, 2022

Practice Location

Address: 712 CAMERON WOODS DR
City: Angola
State: Indiana
ZIP Code: 46703-8816
Phone: (260) 665-3240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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