ULTON G HODGIN

ALBUQUERQUE, NM
NPI1174673719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NM  65-36)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
-- ULTON G HODGIN MD
5901 HARPER DR NE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8888
Mailing Address
-- ULTON G HODGIN MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356