Individual
DR. GENE K. HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2065 E 17TH ST, SUITE A, IDAHO FALLS, ID 83404-8042
(208) 522-3301
(208) 522-3414
Mailing address
2065 E 17TH ST STE A, IDAHO FALLS, ID 83404-8042
(208) 522-3301
(208) 522-3414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M4937
ID
207QA0000X
Adolescent Medicine (Family Medicine) Physician
M4937
ID
207QA0505X
Adult Medicine Physician
Primary
M4937
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000316100
—
ID
01
—
1117710
MEDICARE
ID
Enumeration date
08/29/2006
Last updated
04/22/2026
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