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Individual

GEORGE F. HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1043
(253) 405-1357
Mailing address
35812 249TH AVE SE, ENUMCLAW, WA 98022-6851
(360) 802-1312

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00023316
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8146763
WA
Enumeration date
02/01/2007
Last updated
05/22/2008
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