Individual
PARLEY KURT THORDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 HERITAGE WAY, SUITE 1200, KALISPELL, MT 59901-3158
(406) 752-6784
(406) 756-4111
Mailing address
350 HERITAGE WAY, SUITE 1200, KALISPELL, MT 59901-3158
(406) 752-6784
(406) 756-4111
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10958
MT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
10958
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033165758
BCBS
MT
05
—
1033165758
—
MT
Enumeration date
05/25/2006
Last updated
04/16/2012
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