Individual
DR. DAVID J THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1970 ROANOKE BLVD, 11AC/1J1, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3403
Mailing address
3404 WINDSOR RD SW, ROANOKE, VA 24018-2046
(540) 774-4149
(540) 855-3403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102036861
VA
Other
Enumeration date
11/09/2005
Last updated
03/13/2014
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