Individual
ALEXEY HODKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
(701) 417-2535
Mailing address
15 MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-4390
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
10822132-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
145853
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
16593
ND
Other
Enumeration date
09/14/2015
Last updated
10/01/2020
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