Individual
DR. GREGORY R. HODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 TETON PLZ, STE B, IDAHO FALLS, ID 83404-6494
(208) 524-4660
(208) 524-4617
Mailing address
2225 TETON PLZ, STE B, IDAHO FALLS, ID 83404-6494
(208) 524-4660
(208) 524-4617
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
M6479
ID
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01076326A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001021963
ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653
IN
05
—
201352320
—
IN
Enumeration date
06/10/2005
Last updated
07/26/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us