Thaler, Millard Phillip
Thaler, Millard Phillip is an individual health care provider with primary practice located at 2150 S Dobson Road Ste #1, Mesa AZ 85202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Thaler, Millard Phillip can be contacted via phone (480) 820-2974.Contact Information
Primary practice address
2150 S Dobson Road Ste #1
Mesa AZ 85202
Phone: (480) 820-2974
Fax: (480) 897-0820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G-34444 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 13111 | Arizona |
Profile Details
| NPI number | 1336255793 |
|---|---|
| LBN Legal business name | Thaler, Millard Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Mar 15th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336255793 | NPPES |
| Other | AZ0032750 | BCBS |
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