Individual
DR. JEFFREY DEAN HODGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6201 N. SANTA FE, SUITE 2010, OKLAHOMA CITY, OK 73118-7532
(405) 272-5555
(405) 272-5517
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19214
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080450A
—
OK
Enumeration date
06/26/2006
Last updated
10/20/2014
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