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Individual

DR. PETER T. HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-27680
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-27680
STATE LICENSE
KS
05
100423450A
KS
01
102204
BCBS OF KS
01
200045522
RAILROAD MEDICARE
Enumeration date
06/30/2005
Last updated
07/05/2022
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