Dane Dickson, MD

NPI 1669497194 · on the registry since 2006 · sole proprietor

Practice

Address: 380 Walker Drive
Rexburg, ID 83440
Phone: (208) 356-9559
Fax: (208) 356-6601
Organisation at this address: Teton Oncology Llc
Teton Cancer Institute
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207RH0003X
207RH0003X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho