# DR. EDMOND HARTLEY THALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063475358
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 42566 | CO | — |
| 207W00000X | Ophthalmology Physician | LT23941 | ND | Yes |
| 207W00000X | Ophthalmology Physician | MD033759E | PA | Yes |

## Other

- **Enumeration date:** 04/09/2006
- **Last updated:** 03/04/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 127627104 | — | TX |
| 05 | — | 64432017 | — | CO |