Teton Vascular Institute of Pocatello a Series of Teton Group

NPI #1508224379 in Pocatello, Idaho

Provider Information

NPI Number: 1508224379
Entity Type: Organization
Organization Name: Teton Vascular Institute of Pocatello a Series of Teton Group
Primary Specialty: Radiology - Vascular & Interventional Radiology
Enumeration Date: Feb 8, 2016
Last Updated: Jan 5, 2026

Practice Location

Address: 444 HOSPITAL WAY BLDG 100
Address 2: STE 111
City: Pocatello
State: Idaho
ZIP Code: 83201-2745
Phone: (208) 232-8346

Authorized Official

Name: MR. MICHAEL P HODEL
Title: CEO
Phone: (208) 542-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X	Primary

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