Individual
MR. STEVE HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1255 LAS TABLAS RD STE 201, TEMPLETON, CA 93465-9750
(805) 305-3270
Mailing address
1255 LAS TABLAS RD STE 201, TEMPLETON, CA 93465-9750
(805) 305-3270
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT28027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953639588
GROUP
CA
05
—
GPT001411
—
CA
01
—
OPT28027
BLUE SHIELD
CA
01
—
PT28027
BLUE CROSS
CA
Enumeration date
12/05/2006
Last updated
11/06/2024
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