Individual
MR. TIMOTHY P HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO. FAMILY PRACTICE
Contact information
Practice address
6052 W STATE ST, BOISE, ID 83703-2739
(208) 955-6500
(208) 955-6501
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0109
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295140648
—
ID
Enumeration date
10/21/2005
Last updated
12/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us