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Teton Oncology Llc
Hematology & Oncology Physician in Rexburg, Idaho
NPI 1245382985

Teton Oncology Llc is a Hematology & Oncology Physician based in Rexburg, ID and is specialized in Hematology & Oncology. Teton Oncology Llc practices in Rexburg, ID. The NPI Number for Teton Oncology Llc is 1245382985 and holds a License No. M8118 (Idaho).

The current practice location address for Teton Oncology Llc is 380 Walker Dr, Rexburg, ID and can be reached out via phone at 208-356-9559 and via fax at 208-356-6601.

Location: 380 Walker Dr, Rexburg, ID, 83440-1657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245382985
Provider Name
Teton Oncology Llc
Credential
Provider Entity Type
Organization
Address
380 Walker Dr, Rexburg, ID, 83440-1657
Phone Number
208-356-9559
Fax Number
208-356-6601
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010032448 01 ID BLUE SHIELD
8J950 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
380 Walker Dr
City
Rexburg
State
Idaho
Zip
83440-1657
Phone Number
208-356-9559
Fax Number
208-356-6601
person
Provider Business Mailing Address Details
Address
380 Walker Dr
City
Rexburg
State
Idaho
Zip
83440-1657
Phone Number
208-356-9559
Fax Number
208-356-6601
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
M8118 (Idaho)
Definition
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.
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