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Individual

DR. MARK WILLIAM HODGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 WASHINGTON SQ STE A, WASHINGTON COURT HOUSE, OH 43160-1751
(740) 333-6463
(740) 333-1726
Mailing address
310 WASHINGTON SQ STE A, WASHINGTON COURT HOUSE, OH 43160-1751
(740) 333-6463
(740) 333-1726

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076874
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2137940
OH
Enumeration date
09/30/2005
Last updated
03/20/2018
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