Individual
MR. RONALD HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
916 PACIFIC AVENUE, 7TH FLOOR, EVERETT, WA 98201-4147
(425) 303-6500
(425) 303-6550
Mailing address
909 N BROADWAY, ATTN PBO CREDENTIALING, EVERETT, WA 98201-1409
(425) 317-0264
(425) 317-0291
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
K1474
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00017041
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100182750A
—
OK
05
—
104041203
—
TX
05
—
K0662
—
NM
Enumeration date
07/07/2006
Last updated
10/29/2009
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