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Dr. Dane J Dickson, MD
Hematology & Oncology Physician in Rexburg, Idaho
NPI 1669497194

Dane J Dickson is a Hematology & Oncology Physician based in Rexburg, ID and is specialized in Hematology & Oncology. Dane J Dickson practices in Rexburg, ID and has the professional credentials of MD. The NPI Number for Dane J Dickson is 1669497194 and holds a License No. M8118 (Idaho).

The current practice location address for Dane J Dickson is 380 Walker Drive, Rexburg, ID and can be reached out via phone at 208-356-9559 and via fax at 208-356-6601.

Location: 380 Walker Drive, Rexburg, ID, 83440-1657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669497194
Provider Name
Dane J Dickson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
380 Walker Drive, Rexburg, ID, 83440-1657
Phone Number
208-356-9559
Fax Number
208-356-6601
Provider Enumeration Date
07/13/2006
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 Drive
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-356-9559
Fax Number
208-356-6601
person
Provider Business Mailing Address Details
Address
380 Walker Drive
City
Rexburg
State
Idaho
Zip
83440
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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