Individual
MERLE L. KELLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 E. ELM STE 100, CALDWELL, ID 83605
(208) 302-7100
(208) 302-7155
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-7100
(208) 302-7155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
6851459-1205
UT
208000000X
Pediatrics Physician
Primary
M-11412
ID
Other
Enumeration date
05/13/2008
Last updated
11/10/2016
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