Individual
GLENN ROSS HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7171 W 95TH ST, OVERLAND PARK, KS 66212-2283
(913) 648-2266
Mailing address
12604 W 101ST TER, LENEXA, KS 66215-1814
(913) 888-0957
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
04-15727
KS
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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