Organization
CITY OF WASHINGTON INTERNAL MEDICINE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W. HODGES M.D. (OWNER)
(740) 333-6463
Entity
Organization
Contact information
Practice address
1450 COLUMBUS AVE, SUITE 201, WASHINGTON COURT HOUSE, OH 43160-3701
(740) 333-6463
Mailing address
1450 COLUMBUS AVE, SUITE 201, WASHINGTON COURT HOUSE, OH 43160-3701
(740) 333-6463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076874
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2883018
—
OH
Enumeration date
09/20/2007
Last updated
03/18/2009
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