NPI 1346515889

Doris Faye Thornock

Practitioner Contractor Montpelier, ID

Practice location

Address: 444 N 10th St, Montpelier, ID 83254-1115
Phone: (208) 847-2623

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1346515889
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2012
Record last updated: 16 Mar 2012

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.