Dr. Gregory R. Hodson
Vascular Surgeon Cardiothoracic Vascular Surgeon
2225 Teton Plz Ste B
Idaho Falls
, Idaho 83404-6494
Dr. Gregory R. Hodson
Vascular Surgeon Cardiothoracic Vascular Surgeon
2225 Teton Plz Ste B
Idaho Falls
, Idaho 83404-6494
(208) 524-4617
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About
Features
Specialties
- Vascular Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gregory R. Hodson
- 2225 Teton Plz Ste B
- Idaho Falls, ID
- Zip : 83404-6494
- Fax : (208) 524-4617
- Phone : (208) 524-4660
Second Address
- Dr. Gregory R. Hodson
- 2225 Teton Plz Ste B
- Idaho Falls, ID
- Zip : 83404-6494
- Fax : (208) 524-4617
- Phone : (208) 524-4660
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0129X | Vascular Surgeon | M6479 | ID |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 01076326A | IN |
National Provider Identifier
| NPI | 1164426771 |
|---|---|
| Provider Name | Dr. Gregory R. Hodson |
| First Address | Idaho Falls, ID 83404-6494 |
| Second Address | Idaho Falls, ID 83404-6494 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2005 |
| Last Update Date | 26/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000001021963 | ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653 (01) | IN |
| 201352320 | (05) | IN |
| E18085 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.