Dane J Dickson in Rexburg - Hematology & Oncology

Dane J Dickson - NPI 1669497194

Dane J Dickson is a Hematology & Oncology in Rexburg, Idaho. Dane J Dickson practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Dane J Dickson is 1669497194. The last update date is 2008-01-24.

Dane J Dickson's current location address is 380 Walker Dr, Rexburg, Idaho. You can contact this provider via phone number 2083569559 and fax number 2083566601. The mailing address for Dane J Dickson is 380 Walker Dr, Rexburg, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Dane J Dickson
Address 380 Walker Dr, Rexburg, Idaho
Phone Number 2083569559
Fax Number 2083566601
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1669497194
Provider Enumeration Date 2006-07-13
Last Updated Date 2008-01-24

Provider Mailing Address Detail

Address 380 Walker Dr
City Rexburg
State Idaho (ID)
Post Code 834401657
Phone Number 2083569559
Fax Number 2083566601

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No M8118
Definition:
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10032448 ID BLUE SHIELD
8J950 ID BLUE CROSS

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FAQs about Dane J Dickson

What is the unique 10-digit identifier code issued to Dane J Dickson by the Centers for Medicare & Medicaid Services?

The Dane J Dickson has been assigned the NPI (National Provider Identifier) 1669497194 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Dane J Dickson is geographically located?

The Dane J Dickson is physically situated at the following location: 380 Walker Dr, Rexburg, ID, 834401657.

What is Dane J Dickson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dane J Dickson is Hematology & Oncology, and the taxonomy classification code that categorizes this area of expertise is 207Rh0003X.

On what date did the Dane J Dickson receive the assignment of its 1669497194 from the Centers for Medicare & Medicaid Services?

The Dane J Dickson was issued its 1669497194 by the Centers for Medicare & Medicaid Services on 2006-07-13.

As of what date was the information regarding Dane J Dickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dane J Dickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-24.

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