NPI 1750557690

Carl Thornblade, MD, PLLC

Organisation Allergy & Immunology Physician Missoula, MT

Practice location

Address: 2801 Great Northern Loop STE 101, Missoula, MT 59808
Phone: (406) 728-6472
Fax: (406) 728-9175
Mailing address: 2801 Great Northern Loop STE 101, Missoula, MT 59808-1745

Authorised official

Name: Carl Edward Thornblade
Title: Allergist/Owner
Phone: (406) 728-6472

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 11594 (MT)

Other Allergy & Immunology providers in Montana →

Registry record

NPI: 1750557690
Entity type: Organization
NPI issued: 30 Apr 2008
Record last updated: 4 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.