NPI 1083653489

Carl R Thornfeldt, MD

Practitioner Dermatology Physician Fruitland, ID

Practice location

Address: 811 NW 12th St, Fruitland, ID 83619-2268
Phone: (208) 452-7450
Fax: (208) 452-7550

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M7442 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1083653489
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2006
Record last updated: 25 Mar 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.