Individual
MR. MATTHEW RAYMOND HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-5902
(814) 534-5059
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-5902
(814) 534-5059
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA050985
PA
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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