Roger H. Tall M.d. P.a.

NPI #1912238544 in Idaho Falls, Idaho

Provider Information

NPI Number: 1912238544
Entity Type: Organization
Organization Name: Roger H. Tall M.d. P.a.
Primary Specialty: Specialist
Enumeration Date: Jan 21, 2010
Last Updated: Mar 19, 2010

Practice Location

Address: 2001 S WOODRUFF
Address 2: SUITE 8
City: Idaho Falls
State: Idaho
ZIP Code: 83404
Phone: (208) 529-0633

Authorized Official

Name: DR. ROGER H TALL, M.D.
Title: PRESIDENT
Phone: (208) 529-0633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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