TETON ONCOLOGY LLC NPI 1245382985

NPI Information

TETON ONCOLOGY LLC is a hematology and oncology internal medicine in Rexburg, ID. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. TETON ONCOLOGY LLC NPI is 1245382985. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

380 WALKER DR
REXBURG, ID
ZIP 83440-657
Phone: (208) 356-9559
Fax: (208) 356-6601

The provider's authorized official is Dane J Dickson .
The authorized official title is Owner Doctor and has the following contact phone number (208) 356-9559.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 3/31/2008.

Taxonomy Codes

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