Individual
ROXANNE HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
980 W IRONWOOD DR STE 104, COEUR D ALENE, ID 83814-2668
(208) 667-0621
(208) 664-1709
Mailing address
980 W IRONWOOD DR STE 104, COEUR D ALENE, ID 83814-2668
(208) 667-0621
(208) 664-1709
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M-16728
ID
Other
Enumeration date
03/30/2017
Last updated
07/11/2022
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