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Individual

MR. BERNARD L. HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH / SARP, PORTSMOUTH, VA 23708-2111
(757) 444-4019
(757) 444-9412
Mailing address
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH / SARP, PORTSMOUTH, VA 23708-2111
(757) 444-4019
(757) 444-9412

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1710I1002X
INDEPENDENT DUTY CORPSMAN
Enumeration date
04/03/2006
Last updated
08/25/2008
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