Individual
MS. STACI B. HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 N CALVERT ST, SUITE 400, BALTIMORE, MD 21218-2867
(410) 554-4382
(410) 554-2084
Mailing address
3333 NORTH CALVERT ST, GCOA, BALTIMORE, MD 21218
(410) 554-4382
(410) 554-2084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003533
MD
Other
Enumeration date
08/09/2007
Last updated
09/07/2010
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