DR. Roger H Tall, MD

NPI #1972604494 in Idaho Falls, Idaho

Provider Information

NPI Number: 1972604494
Entity Type: Individual
Name: DR. Roger H Tall, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: MD
Enumeration Date: Sep 26, 2006
Last Updated: Dec 22, 2010

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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