NPI | 1659426617 |
---|---|
Doing Business As | TETON CANCER INSTITUTE |
Entity Type | Organization |
Authorized Contact | NED HILLYARD Cco 208-577-2711 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-01-23 |
Last Update Date | 2014-02-04 |