institution
Roger H. Tall M.d. P.a.
Specialist in Idaho Falls, Idaho
NPI 1912238544

Roger H. Tall M.d. P.a. is a Specialist based in Idaho Falls, ID. Roger H. Tall M.d. P.a. practices in Idaho Falls, ID. The NPI Number for Roger H. Tall M.d. P.a. is 1912238544 and holds a License No. M4222 (Idaho).

The current practice location address for Roger H. Tall M.d. P.a. is 2001 S Woodruff, Idaho Falls, ID and can be reached out via phone at 208-529-0633 and via fax at 208-529-1948.

Location: 2001 S Woodruff, Idaho Falls, ID, 83404
institution
Provider Profile Details
NPI Number
1912238544
Provider Name
Roger H. Tall M.d. P.a.
Credential
Provider Entity Type
Organization
Address
2001 S Woodruff, Idaho Falls, ID, 83404
Phone Number
208-529-0633
Fax Number
208-529-1948
Provider Enumeration Date
01/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 S Woodruff
City
State
Zip
83404
Phone Number
208-529-0633
Fax Number
208-529-1948
person
Provider Business Mailing Address Details
Address
2001 S Woodruff
City
State
Zip
83404
Phone Number
208-529-0633
Fax Number
208-529-1948
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
M4222 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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