# DAVID S HODGE MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124646112
- **Authorized official:** DR. DAVID STANTON HODGE MD (PRESIDENT)
- **Authorized official phone:** (559) 440-9740

## Contact information

- **Practice address:** 215 NORTH FRESNO STREET, SUITE 370, SUITE 370, FRESNO, CA 93721-0998
- **Practice address phone:** (559) 495-4543
- **Practice address fax:** (559) 459-1539
- **Mailing address:** 180 W BULLARD AVE STE 102, CLOVIS, CA 93612-0998
- **Mailing address phone:** (559) 440-9740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2020
- **Last updated:** 07/07/2020