Tony C Roisum Md Pa is a Sports Medicine (Family Medicine) Physician based in Idaho Falls, ID and is specialized in Sports Medicine. Tony C Roisum Md Pa practices in Idaho Falls, ID. The NPI Number for Tony C Roisum Md Pa is 1124115944 and holds a License No. M7389 (Idaho).
The current practice location address for Tony C Roisum Md Pa is 3360 Washington Pkwy, Idaho Falls, ID and can be reached out via phone at 208-524-3416 and via fax at 208-524-3138.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010004286 | 01 | ID | BLUE SHIELD |
| B5824 | 01 | BLUE CROSS | |
| DJ475 | 01 | ID | BLUE CROSS |
| 119166700 | 05 | WY | |
| 185461600 | 01 | ID | US DEPT OF LABOR |
| 502862456001 | 05 | UT | |
| 23397 | 01 | BLUE SHIELD | |
| 805076700 | 05 | ID |
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