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Individual

MR. TRAVIS M HODGDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 ATWELL RD, DEPARTMENT OF CRITICAL CARE, COOPERSTOWN, NY 13326-1301
(607) 547-3550
Mailing address
1 ATWELL RD, DEPARTMENT OF CRITICAL CARE, COOPERSTOWN, NY 13326-1301
(607) 547-3550

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34008557
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
246098
NY

Other

Enumeration date
05/02/2006
Last updated
10/15/2007
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