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1174673719
ULTON G HODGIN
ALBUQUERQUE, NM
NPI
1174673719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NM 65-36)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- ULTON G HODGIN MD
5901 HARPER DR NE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8888
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Mailing Address
-- ULTON G HODGIN MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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