Teton Oncology Llc

NPI 1245382985 - Internal Medicine - 207RH0003X

NPI Details
NPI 1245382985
Enumeration Date 01/16/2007
Last Updated 03/31/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DANE J DANE
Position OWNER DOCTOR
Phone (208) 356-9559
Fax (208) 356-6601
Practice Location
380 WALKER DR
REXBURG ID, 83440-1657, US
Phone (208) 356-9559
Fax (208) 356-6601
Business Location
380 WALKER DR
REXBURG ID, 83440-1657, US
Phone (208) 356-9559
Fax (208) 356-6601
Toxanomy
Taxonomy Code 207RH0003X
License State Idaho
License Number M8118
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According to our database, Teton Oncology Llc NPI is 1245382985, taxonomy code is 207RH0003X and license number is M8118, license state is located at Idaho. Teton Oncology Llc physically located at 380 Walker Dr, Rexburg ID, 83440-1657. NPI Number 1033115704 has the healthcare provider type.

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1245382985 NPI number is provided on an as is basis without warranty of any kind. 1245382985 is maintained by the National Plan & Provider Enumeration System. The contents of Teton Oncology Llc are for informational purposes only.