OrganizationActive
Celldox Inc
NPI 1962515239 · Anatomic Pathology & Clinical Pathology Physician · Hannibal, MO
Provider details
- NPI number
- 1962515239
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Thomas Roisum, President
- License
- 00166253 (MO)
Practice location
6470 Interstate Ct
Hannibal, MO 63401-6759
Phone: (573) 248-0826
Fax: (573) 221-2252
Mailing address
6470 Interstate Ct
Hannibal, MO 63401-6759
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2010-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.