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Contact Information

GREGORY R HODSON, MD
2225 TETON PLZ
STE B
IDAHO FALLS, ID83404-6494
 Phone: 208-524-4660
 Fax: 208-524-4617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for GREGORY R HODSON · (Male)

NPI # 1164426771
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2005
Last updated 07/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M6479
  • IN License # 01076326A
  • IN Medicaid 201352320
  • IN Other 000001021963 ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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