DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CARL EDWARD THORNBLADE, MD

Active Sole Proprietor

DR. CARL EDWARD THORNBLADE, MD is a Allergy & Immunology healthcare provider located in MISSOULA, Montana. NPI 1073605200 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · MISSOULA, MT

Registration Details

NPI Number
1073605200
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2006 (19.69077099299 yrs)
Last Updated
Jul 31, 2015
Licenses
D0062345 (MD)
11594 (MT)
Sole Proprietor
Yes

Practice Information

Address
2801 GREAT NORTHERN LOOP
SUITE 101
MISSOULA, MT, 598081745
Browse MT providers · Browse ZIP 59808
Phone
4067286472
Fax
4067289175
Primary Specialty
Allergy & Immunology
207K00000X
Additional Specialty
Allergy & Immunology

Other Allergy & Immunology Providers in MISSOULA, MT

Name Credential NPI
DONALD NEVIN GILLESPIE MD 1831126747
WARD S DEWITT MD 1710095211
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.