| NPI | 1578807996 |
|---|---|
| Doing Business As | TETON CANCER INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | NED HILLYARD Cco 208-557-2711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2014-02-04 |