Individual
GEOFF HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1117 TIETON DR, YAKIMA, WA 98902-3835
(866) 904-7721
(509) 576-8685
Mailing address
1117 TIETON DR, YAKIMA, WA 98902-3835
(866) 904-7721
(509) 575-8685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP30003695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9617689
—
WA
Enumeration date
08/14/2006
Last updated
11/22/2013
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