Organization
HODGES FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HODGES D.O. (OWNER)
(208) 854-9534
Entity
Organization
Contact information
Practice address
2947 E MAGIC VIEW DR, SUITE #1, MERIDIAN, ID 83642-3561
(208) 854-9534
Mailing address
1350 S FIVE MILE RD, #191220, BOISE, ID 83719-0020
(208) 854-9534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-109
ID
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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