Individual
CARL R THORNFELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 NW 12TH ST, FRUITLAND, ID 83619-2268
(208) 452-7450
(208) 452-7550
Mailing address
811 NW 12TH ST, FRUITLAND, ID 83619-2268
(208) 452-7450
(208) 452-7550
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M7442
ID
Other
Enumeration date
06/04/2006
Last updated
03/25/2015
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