NPI 1073605200

Carl Edward Thornblade, MD

Practitioner Allergy & Immunology Physician Missoula, MT

Practice location

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

Registered specialties (2)

Allergy & Immunology Physician Primary

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

Other Allergy & Immunology providers in Montana →

Allergy & Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence D0062345 (MD)

Registry record

NPI: 1073605200
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2006
Record last updated: 31 Jul 2015

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.