NPI 1972604494

Roger H Tall, MD

Practitioner Urology Physician Idaho Falls, ID

Practice location

Address: 2001 S Woodruff Suite 8, Idaho Falls, ID 83404
Phone: (208) 529-0633
Fax: (208) 529-1948

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M4222 (ID)

Other Urology providers in Idaho →

Registry record

NPI: 1972604494
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2006
Record last updated: 22 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.