NPI | 1750557690 |
---|---|
Doing Business As | MONTANA ALLERGY PRACTICE |
Entity Type | Organization |
Authorized Contact | CARL EDWARD THORNBLADE Allergist/Owner 406-728-6472 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MT 11594) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2019-02-04 |