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1912238544
ROGER H. TALL M.D. P.A.
IDAHO FALLS, ID
NPI
1912238544
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Entity Type
Organization
Authorized Contact
ROGER H TALL
President
208-529-0633
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: ID M4222)
Enumeration Date
2010-01-21
Last Update Date
2010-03-19
Business Address
ROGER H. TALL M.D. P.A.
2001 S WOODRUFF SUITE 8
IDAHO FALLS, ID 83404
Phone number: 208-529-0633
Copy
Mailing Address
ROGER H. TALL M.D. P.A.
2001 S WOODRUFF SUITE 8
IDAHO FALLS, ID 83404
Phone number: 208-529-0633
Copy
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