Individual
WYLLYS ROYCE HODGES III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 MEMORIAL AVE, CUMBERLAND, MD 21502-3732
(301) 723-4965
Mailing address
3 REGATTA COURT, RIDGELEY, WV 26753-5013
(304) 738-0401
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0016000
MD
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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