DR. WADE KELLER, D.O.

Dermatology

Active Individual
NPI: 1942402169

Practice Address

1605 E RIVERSIDE DR
Eagle, ID 83616

Phone: (208) 939-6227

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes O-0559 (ID)
Dermatology - MOHS-Micrographic Surgery 207ND0101X No O-0559 (ID)
Dermatology - Procedural Dermatology 207NS0135X No O-0559 (ID)

Frequently Asked Questions

NPI 1942402169 is the National Provider Identifier for DR. WADE KELLER, D.O., a Dermatology provider located in Eagle, ID. This NPI was enumerated on June 1, 2007.
DR. WADE KELLER, D.O. practices at 1605 E RIVERSIDE DR, Eagle, ID 83616.

Quick Facts

NPI
1942402169
Type
Individual
Enumerated
Jun 1, 2007
Last Updated
Nov 3, 2022

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