| 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: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 208-786-4471 |