Organization · Type 2 NPI
Teton Vascular Institute of Pocatello A Series of Teton Group
Vascular & Interventional Radiology Physician · Pocatello, ID
Practice location
444 Hospital Way Bldg 100, Ste 111
Pocatello, ID 83201-2745
Fax (208) 233-2272
Mailing address
PO Box 30015, Dept 596
Salt Lake City, UT 84130-0015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | None listed |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
About NPI 1508224379
Teton Vascular Institute of Pocatello A Series of Teton Group's National Provider Identifier is 1508224379, issued on Feb 8, 2016. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Pocatello, ID. The record was last updated on Oct 19, 2026.