Organization
TETON VASCULAR INSTITUTE OF POCATELLO A SERIES OF TETON GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P HODEL (CEO)
(208) 542-5000
Entity
Organization
Contact information
Practice address
444 HOSPITAL WAY BLDG 100, STE 111, POCATELLO, ID 83201-2745
(208) 232-8346
(208) 233-2272
Mailing address
PO BOX 30015, DEPT 596, SALT LAKE CITY, UT 84130-0015
(800) 475-6236
(706) 596-6712
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
01/05/2026
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