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Individual

DR. CARL EDWARD THORNBLADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 GREAT NORTHERN LOOP, SUITE 101, MISSOULA, MT 59808-1745
(406) 728-6472
(406) 728-9175
Mailing address
2801 GREAT NORTHERN LOOP, SUITE 101, MISSOULA, MT 59808-1745
(406) 728-6472
(406) 728-9175

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
11594
MT
207K00000X
Allergy & Immunology Physician
D0062345
MD

Other

Enumeration date
09/28/2006
Last updated
07/31/2015
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