Individual
GAIL THALER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5808 MCLEOD RD NE STE L, ALBUQUERQUE, NM 87109-2468
(505) 884-3636
(505) 884-8181
Mailing address
5808 MCLEOD RD NE STE L, ALBUQUERQUE, NM 87109-2468
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
92-150
NM
2084P0805X
Geriatric Psychiatry Physician
92-150
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10076
—
NM
Enumeration date
05/02/2006
Last updated
09/03/2009
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