Dr MATTHEW J MERZLOCK PA is a male medical professional, specializing in Physician Assistant. He graduated in 2004.
TONY C ROISUM MD PA
3360 WASHINGTON PKWY
SUITE 1
IDAHO FALLS
ID
834048333
Tel: 2085243416
| Npi | 1316985229 |
| Pac Id | 1759325855 |
| Professional Enrollment Id | I20050618000091 |
| Last Name | MERZLOCK |
| First Name | MATTHEW |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | TONY C ROISUM MD PA |
| Group Practice Pac Id | 5991094864 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 3360 WASHINGTON PKWY |
| Line 2 Street Address | SUITE 1 |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834048333 |
| Phone Number | 2085243416 |
| Hospital Affiliation Ccn 1 | 130065 |
| Hospital Affiliation Lbn 1 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | 130018 |
| Hospital Affiliation Lbn 2 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 130028 |
| Hospital Affiliation Lbn 3 | PORTNEUF MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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