Organization
HODGES SURGICAL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEROY W HODGES M.D. (PRESIDENT)
(651) 224-4930
Entity
Organization
Contact information
Practice address
2854 HIGHWAY 55, SUITE #130, EAGAN, MN 55121-2156
(651) 842-3329
Mailing address
2854 HIGHWAY 55, SUITE #130, EAGAN, MN 55121-2156
(651) 842-3329
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129703
HEALTH PARTNERS
MN
Enumeration date
08/21/2007
Last updated
08/30/2007
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