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TETON VASCULAR INSTITUTE OF POCATELLO A SERIES OF TETON GROUP NPI 1508224379


NPI Information

NPI: 1508224379
Provider Name: TETON VASCULAR INSTITUTE OF POCATELLO A SERIES OF TETON GROUP
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
444 HOSPITAL WAY BLDG 100
STE 111
POCATELLO, ID
ZIP 83201
Phone: (208) 232-8346
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TETON VASCULAR INSTITUTE OF POCATELLO A SERIES OF TETON GROUP is a vascular and interventional radiology radiology in Pocatello, ID. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. TETON VASCULAR INSTITUTE OF POCATELLO A SERIES OF TETON GROUP NPI is 1508224379. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

444 HOSPITAL WAY BLDG 100
STE 111
POCATELLO, ID
ZIP 83201-745
Phone: (208) 232-8346
Fax: (208) 233-2272

The provider's authorized official is Michael P Hodel .
The authorized official title is Ceo and has the following contact phone number (208) 542-5000.

The enumeration date for this NPI number is 2/8/2016 and was last updated on 2/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.