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Individual

ALICIA S HODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052045
GA
207R00000X
Internal Medicine Physician
Primary
MD60453104
WA
208M00000X
Hospitalist Physician
48468
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720036411
WA
Enumeration date
05/04/2006
Last updated
09/15/2020
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