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Dr. Gregory R. Hodson, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Idaho Falls, Idaho
NPI 1164426771

Gregory R. Hodson is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Idaho Falls, ID. Gregory R. Hodson practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Gregory R. Hodson is 1164426771 and holds a License No. M6479 (Idaho).

The current practice location address for Gregory R. Hodson is 2225 Teton Plz, Idaho Falls, ID and can be reached out via phone at 208-524-4660 and via fax at 208-524-4617. You can also correspond with Gregory R. Hodson through the mailing address at 2225 TETON PLZ, IDAHO FALLS, ID - 83404-6494 (mailing address contact number: 208-524-4660).

Location: 2225 Teton Plz, Idaho Falls, ID, 83404-6494
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164426771
Provider Name
Gregory R. Hodson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2225 Teton Plz, Idaho Falls, ID, 83404-6494
Phone Number
208-524-4660
Fax Number
208-524-4617
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000001021963 01 IN ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653
201352320 05 IN
institution
Provider Business Practice Location Address Details
Address
2225 Teton Plz
City
Idaho Falls
State
Idaho
Zip
83404-6494
Phone Number
208-524-4660
Fax Number
208-524-4617
person
Provider Business Mailing Address Details
Address
2225 Teton Plz
City
Idaho Falls
State
Idaho
Zip
83404-6494
Phone Number
208-524-4660
Fax Number
208-524-4617
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
01076326A (Indiana)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
M6479 (Idaho)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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