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Individual
JOSHUA P THALER
Active
Individual
JOSHUA P THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00045606
WA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00045606
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3716TH
BLUE SHIELD VM
WA
05
—
8504573
—
WA
Enumeration date
08/30/2006
Last updated
05/06/2010
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