Dr. Wade Robert Keller, DO
Dr. Wade Robert Keller, DO is a Micrographic Dermatologic Surgery (Mds) in Eagle, Idaho. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2005, 21 years ago. Practices with Keller Skin and Cancer Care PC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona and Idaho.
- Years since qualifying
- 21
- Trained at
- Arizona College of Osteopathic Medicine Mid Western University
- Licensed in
- AZ, ID
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1605 E Riverside DrEagle, ID 83616-6237
Phone: (208) 939-6227
Fax: (208) 939-6442
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence O-0559 (ID) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 4692 (AZ) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence O-0559 (ID) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence O-0559 (ID) |
Record details
| NPI number | 1942402169 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | June 1, 2007 |
| Last updated in NPPES | November 3, 2022 |
| Certification date | November 3, 2022 |
| Mailing address | 1605 E Rverside Drive, Eagle, ID 83616 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Medical school | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduated | 2005 (21 years in practice) |
| Group practice | Keller Skin And Cancer Care Pc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Eagle
-
Eagle Dermatology, PLLC
323 E Riverside Dr Ste 234, Eagle, ID 83616-6865 · (208) 391-7210
-
Dr. Gregory Lynn Flint, MD
868 E Riverside Dr Ste 200, Eagle, ID 83616-6019 · (208) 367-2864
-
Keller Skin & Cancer Care PC
1605 E Riverside Dr, Eagle, ID 83616 · (208) 939-6227
-
Heather Nicole Knutson, NP
1605 E Riverside Dr, Eagle, ID 83616-6237 · (208) 939-6227