Celldox INC

NPI #1962515239 in Hannibal, Missouri

Provider Information

NPI Number: 1962515239
Entity Type: Organization
Organization Name: Celldox INC
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date: Aug 17, 2006
Last Updated: May 14, 2010

Practice Location

Address: 6470 INTERSTATE CT
City: Hannibal
State: Missouri
ZIP Code: 63401-6759
Phone: (573) 248-0826

Authorized Official

Name: DR. THOMAS A ROISUM, MD
Title: PRESIDENT
Phone: (573) 248-0226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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