Individual
DR. MURRAY ALLEN THALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17868 HWY 18 SUITE 800, APPLE VALLEY, CA 92307-1271
(760) 399-0797
(760) 242-7758
Mailing address
17868 HIGHWAY 18, SUITE 800, APPLE VALLEY, CA 92307
(760) 399-0797
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C37450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C374500
—
CA
01
—
330166013
BLUE CROSS BLUE SHIELD
CA
Enumeration date
05/04/2006
Last updated
04/03/2013
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