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ROGER H TALL MD PA
Company Details
| Name: |
ROGER H TALL MD PA |
| Jurisdiction: |
Idaho |
| Legal type: |
Professional Service Corporation (D) |
| Status: |
Active-Good Standing
|
| Date of registration: |
01 Jul 1981 (44 years ago)
|
| Financial Date End: |
31 Jul 2026 |
| Entity Number: |
212519 |
| Place of Formation: |
IDAHO |
| File Number: |
212519 |
| ZIP code: |
83404
|
| County: |
Bonneville County |
| Mailing Address: |
1655 CORONADO ST IDAHO FALLS, ID 83404-7467 |
Agent
| Name |
Role |
Address |
|
ROGER H. TALL, M.D.
|
Agent
|
1655 CORONADO ST, IDAHO FALLS, ID 83404
|
President
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
ROGER H TALL
|
President
|
1655 CORONADO ST, IDAHO FALLS, ID 83404
|
2021-08-11
|
2022-06-03
|
|
ROGER TALL
|
President
|
1655 CORONADO ST, IDAHO FALLS, ID 83404
|
2024-07-03
|
No data
|
Secretary
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
MARY TALL
|
Secretary
|
1655 CORONADO ST, IDAHO FALLS, ID 83404
|
2024-07-03
|
2024-07-03
|
National Provider Identifier
Authorized Person:
Taxonomy:
Selected Taxonomy:
174400000X - Specialist
Contacts:
Form 5500 Series
Employer Identification Number (EIN):
820365091
Number Of Participants:
1
Sponsors Telephone Number:
Number Of Participants:
1
Sponsors Telephone Number:
Number Of Participants:
1
Sponsors Telephone Number:
Number Of Participants:
1
Sponsors Telephone Number:
Number Of Participants:
3
Sponsors Telephone Number:
This company hasn't received any reviews.
Date of last update: 02 Aug 2025
Sources:
Idaho Secretary of State
