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TETON CANCER INSTITUTE NPI 1639556376


NPI Information

NPI: 1639556376
Provider Name: TETON CANCER INSTITUTE

Doing Business As: TETON CANCER INSTITUTE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1957 E 17TH ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 523-1100
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TETON CANCER INSTITUTE is a hematology and oncology internal medicine in Idaho Falls, 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 CANCER INSTITUTE NPI is 1639556376. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Teton Cancer Institute.

The provider's business location address is:

1957 E 17TH ST
IDAHO FALLS, ID
ZIP 83404-429
Phone: (208) 523-1100

The provider's authorized official is Ned Hillyard .
The authorized official title is Chief Compliance Officer and has the following contact phone number (208) 557-2711.

The enumeration date for this NPI number is 5/1/2015 and was last updated on 6/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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