Individual
NEAL HODGES FOUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 N 4TH ST, CENTRAL POINT, OR 97502-2032
(541) 748-9650
(541) 615-9306
Mailing address
25 N 4TH ST, CENTRAL POINT, OR 97502-2032
(541) 748-9650
(541) 615-9306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA191679
OR
363A00000X
Physician Assistant
PA9111826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9111826
PHYSICIAN ASSISTANT
FL
Enumeration date
02/12/2019
Last updated
03/20/2024
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