Individual
MARK G HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
937 HIGHLAND BLVD STE 5320, BOZEMAN, MT 59715-6916
(406) 414-4900
Mailing address
935 HIGHLAND BLVD, SUITE 4400, BOZEMAN, MT 59715-6904
(406) 587-5123
(406) 556-6758
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10166
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63478
—
MT
01
—
95275
BCBS
MT
Enumeration date
07/19/2006
Last updated
04/15/2025
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