| Roxanne Haslam, MD | |
| 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814-2668 | |
| (208) 667-0621 | |
| (208) 664-1709 | 
| Full Name | Roxanne Haslam | 
|---|---|
| Gender | Female | 
| Speciality | Urology | 
| Location | 980 W Ironwood Dr Ste 104, Coeur D Alene, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205368198 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | M-16728 (Idaho) | Primary | 
| Entity Name | North Idaho Urology Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891834768 PECOS PAC ID: 1456452291 Enrollment ID: O20070724000658 | 
| Entity Name | Kootenai Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Roxanne Haslam, MD 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814-2668 Ph: (208) 667-0621 | Roxanne Haslam, MD 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814-2668 Ph: (208) 667-0621 | 
| Matthew David Mclaughlin, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr, Ste 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 | |
| Dr. Chad Allan Peterson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr, Ste. 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 | |
| David Flores, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 |