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CARL THORNBLADE MD PLLC NPI 1750557690


NPI Information

NPI: 1750557690
Provider Name: CARL THORNBLADE, MD, PLLC

Doing Business As: MONTANA ALLERGY PRACTICE

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
2801 GREAT NORTHERN LOOP STE 101
MISSOULA, MT
ZIP 59808
Phone: (406) 728-6472
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CARL THORNBLADE, MD, PLLC is an allergy immunology in Missoula, MT. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. CARL THORNBLADE, MD, PLLC NPI is 1750557690. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Montana Allergy Practice.

The provider's business location address is:

2801 GREAT NORTHERN LOOP STE 101
MISSOULA, MT
ZIP 59808
Phone: (406) 728-6472
Fax: (406) 728-9175

The provider's authorized official is Carl Edward Thornblade .
The authorized official title is Allergist/owner and has the following contact phone number (406) 728-6472.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 2/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology11594MONTANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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