Individual
DR. SETH MARK THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 ENSIGN RD NE, SUITE K, OLYMPIA, WA 98506-5065
(360) 413-8121
(360) 413-8865
Mailing address
3525 ENSIGN RD NE, SUITE K, OLYMPIA, WA 98506-5065
(360) 413-8121
(360) 413-8865
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00036388
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8228181
—
WA
Enumeration date
11/22/2005
Last updated
10/21/2024
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