Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roger H. Tall MD PA

Organization Specialist · NPI 1912238544

Roger H. Tall MD PA provides Specialist services in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2001 S Woodruff Ste 8
Idaho Falls, ID 83404 Not confirmed with CMS for 16 years — call before visiting
Phone: (208) 529-0633
Fax: (208) 529-1948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M4222 (ID)

Record details

NPI number1912238544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Tall — President · (208) 529-0633
NPI enumeratedJanuary 21, 2010
Last updated in NPPESMarch 19, 2010
Mailing address2001 S Woodruff, Suite 8, Idaho Falls, ID 83404

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