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
Fax: (480) 897-0820
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336255793 NPPES
Other AZ0032750 BCBS

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