Frederick R Haller, MD | |
740 Mckinley Ave, Kellogg, ID 83837-2523 | |
(208) 783-1267 | |
(208) 786-4471 |
Full Name | Frederick R Haller |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 740 Mckinley Ave, Kellogg, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396797726 | NPI | - | NPPES |
1185830001 | Other | ID | MEDICARE DMERC |
080089993 | Other | ID | RAILROAD MEDICARE |
002790400 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M3559 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Frederick R Haller, MD 740 Mckinley Ave, Kellogg, ID 83837-2523 Ph: (208) 783-1267 | Frederick R Haller, MD 740 Mckinley Ave, Kellogg, ID 83837-2523 Ph: (208) 783-1267 |
Benjamin Collins Krasin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Jacobs Gulch Rd, Kellogg, ID 83837 Phone: 208-784-1221 Fax: 208-784-0961 | |
Dr. Sue Castleman, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 208-786-4471 |