# CELLDOX INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962515239
- **Authorized official:** DR. THOMAS A ROISUM MD (PRESIDENT)
- **Authorized official phone:** (573) 248-0226

## Contact information

- **Practice address:** 6470 INTERSTATE CT, HANNIBAL, MO 63401-6759
- **Practice address phone:** (573) 248-0826
- **Practice address fax:** (573) 221-2252
- **Mailing address:** 6470 INTERSTATE CT, HANNIBAL, MO 63401-6759
- **Mailing address phone:** (573) 248-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 00166253 | MO | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 05/14/2010