Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teton Vascular Institute of Pocatello a Series of Teton Group

Organization Vascular & Interventional Radiology Physician · NPI 1508224379

Teton Vascular Institute of Pocatello a Series of Teton Group is a Vascular & Interventional Radiology Physician in Pocatello, Idaho. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

444 Hospital Way Bldg 100 Ste 111
Pocatello, ID 83201-2745
Phone: (208) 232-8346
Fax: (208) 233-2272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1508224379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Hodel — Ceo · (208) 542-5000
NPI enumeratedFebruary 8, 2016
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing addressPo Box 30015, Dept 596, Salt Lake City, UT 84130-0015

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