NPI | 1639556376 |
---|---|
Doing Business As | TETON CANCER INSTITUTE |
Entity Type | Organization |
Authorized Contact | NED HILLYARD Chief Compliance Officer 208-557-2711 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
Enumeration Date | 2015-05-01 |
Last Update Date | 2015-06-22 |