Search › Idaho › 207N00000X
Wade Keller, D.O
NPI 1942402169 · on the registry since 2007
Practice
- Address
- 1605 E Riverside Dr
Eagle, ID 83616 - Phone
- (208) 939-6227
- Fax
- (208) 939-6442
- Organisation at this address
- Keller Skin & Cancer Care Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207N00000X
207ND0101X
207NS0135X - Licence states on file
- AZ, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho