Organization
TETON ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANE J DICKSON MD (OWNER DOCTOR)
(208) 356-9559
Entity
Organization
Contact information
Practice address
380 WALKER DR, REXBURG, ID 83440-1657
(208) 356-9559
(208) 356-6601
Mailing address
380 WALKER DR, REXBURG, ID 83440-1657
(208) 356-9559
(208) 356-6601
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M8118
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010032448
BLUE SHIELD
ID
01
—
8J950
BLUE CROSS
ID
Enumeration date
01/16/2007
Last updated
03/31/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us