NPI 1295747046

Robert John Haake, DO

Practitioner Internal Medicine Physician Eagle, ID

Practice location

Address: 500 E Shore Dr Suite 100, Eagle, ID 83616-6908
Phone: (208) 995-2802
Fax: (208) 995-2804

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence O-0520 (ID)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1295747046
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2006
Record last updated: 16 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.