TONY C ROISUM MD PA
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1124115944- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3360 WASHINGTON PKWY SUITE 1, IDAHO FALLS, ID, 834048333
- Phone
- (208) 524-3416
- Fax
- (208) 524-3138
Specialties & Taxonomies
Family Medicine, Sports Medicine
License: ID #M7389
Family Medicine
Primary License: ID #M7389