Individual
DR. JEFFREY ROSS HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20100 QUARTZ MOUNTAIN ROAD NORTH, FIDDLETOWN, CA 95629
(209) 206-1177
Mailing address
PO BOX 353, FIDDLETOWN, CA 95629-0353
(209) 206-1177
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A100211
CA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
A100211
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A100211
CA
Other
Enumeration date
07/20/2007
Last updated
07/15/2024
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