Individual
RICHARD M HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 35TH ST, MARION, IA 52302-1710
(319) 377-4844
(319) 377-0852
Mailing address
1100 35TH ST, MARION, IA 52302-1710
(319) 377-4844
(319) 377-0852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23536
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026948
—
IA
01
—
080080082
RR MEDICARE
IA
05
—
1801874615
—
IA
05
—
2026948
—
IA
05
—
3026948
—
IA
Enumeration date
01/03/2006
Last updated
05/22/2012
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