Frederick R Haller, M.D.

NPI #1396797726 in Kellogg, Idaho

Provider Information

NPI Number: 1396797726
Entity Type: Individual
Name: Frederick R Haller, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 16, 2006
Last Updated: Aug 19, 2011

Practice Location

Address: 740 MCKINLEY AVE
City: Kellogg
State: Idaho
ZIP Code: 83837-2523
Phone: (208) 783-1267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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