Individual
DR. TIMOTHY L. HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1502 N TUCSON BLVD, TUCSON, AZ 85716-3423
(520) 326-4321
(520) 326-4736
Mailing address
1502 N TUCSON BLVD, TUCSON, AZ 85716-3423
(520) 326-4321
(520) 326-4736
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
31263
AZ
207W00000X
Ophthalmology Physician
Primary
31263
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z76559
MEDICARE PTAN
AZ
Enumeration date
02/17/2006
Last updated
11/16/2016
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