Teton Oncology LLC

NPI #1245382985 in Rexburg, Idaho

Provider Information

NPI Number
1245382985
Entity Type
Organization
Organization Name
Teton Oncology LLC
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
Jan 16, 2007
Last Updated
Mar 31, 2008

Practice Location

Address
380 WALKER DR
State
Idaho
ZIP Code
83440-1657
Phone
(208) 356-9559

Authorized Official

Name
DANE J DICKSON, MD
Title
OWNER DOCTOR
Phone
(208) 356-9559

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hematology & OncologyHematology & Oncology

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