OrganizationActive
Teton Oncology LLC
NPI 1245382985 · Hematology & Oncology Physician · Rexburg, ID
Provider details
- NPI number
- 1245382985
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dane Dickson, Owner Doctor(208) 356-9559
- License
- M8118 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
380 Walker Dr
Rexburg, ID 83440-1657
Phone: (208) 356-9559
Fax: (208) 356-6601
Approximate (ZIP-level) locationGet directions
Mailing address
380 Walker Dr
Rexburg, ID 83440-1657
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2008-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.