Individual
CHARLES HODGE V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
04-20290
KS
2080P0206X
Pediatric Gastroenterology Physician
Primary
R5D38
MO
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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