WADE R KELLER

KELLER SKIN AND CANCER CARE PC

Dr WADE R KELLER is a male medical professional, specializing in Dermatology. He graduated in 2005 from Arizona College Of Osteopathic Medicine Mid Western University.

Contact

KELLER SKIN AND CANCER CARE PC

1605 E RIVERSIDE DR
EAGLE
ID
836166237

Tel: 2089396227

WADE R KELLER Information

Npi 1942402169
Pac Id 5698806578
Professional Enrollment Id I20100622000581
Last Name KELLER
First Name WADE
Middle Name R
Suffix
Gender M
Credential
Medical School Name ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year 2005
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KELLER SKIN AND CANCER CARE PC
Group Practice Pac Id 2769647759
Number Of Group Practice Members 4
Line 1 Street Address 1605 E RIVERSIDE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAGLE
State ID
Zip Code 836166237
Phone Number 2089396227
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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