Individual
GEOFFREY R HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(660) 826-5960
(660) 826-4852
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
857122
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06074260
—
MS
Enumeration date
05/12/2006
Last updated
11/09/2017
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