| NPI | 1245382985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE J DICKSON Owner Doctor 208-356-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M8118) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-03-31 |