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1508224379
TETON VASCULAR INSTITUTE OF POCATELLO A SERIES OF TETON GROUP
POCATELLO, ID
NPI
1508224379
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Entity Type
Organization
Authorized Contact
MICHAEL P HODEL
CEO
208-542-5000
Organization Subpart ?
No
Primary Taxonomy
2085R0204X Radiology Vascular & Interventional Radiology
Enumeration Date
2016-02-08
Last Update Date
2018-02-09
Business Address
TETON VASCULAR INSTITUTE OF POCATELLO A SERIES OF TETON GROUP
444 HOSPITAL WAY BLDG 100 STE 111
POCATELLO, ID 83201-2745
Phone number: 208-232-8346
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Mailing Address
TETON VASCULAR INSTITUTE OF POCATELLO A SERIES OF TETON GROUP
PO BOX 1406
IDAHO FALLS, ID 83403-1406
Phone number: 208-552-8576
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