Alyson P Thal, M.D.
Family Medicine in Corrales, NM. Individual provider (NPI-1).
NPI number1316050560
StatusActive
Last updated in NPPESMar 11, 2014
Details
- NPI
- 1316050560
- Entity type
- Individual (NPI-1)
- Name
- Alyson P Thal
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2006
- Last updated
- Mar 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 86-346 | NM | Yes |
Practice location
3841 Corrales RdCorrales, NM 87048-9311
Phone 505-792-3065 · Fax 505-792-4004
Mailing address
Po Box 20903841 Corrales Road
Corrales, NM 87048-2090
Phone 505-792-3065 · Fax 505-792-4004
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