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1225027253
TIMOTHY P HODGES
BOISE, ID
NPI
1225027253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID 0109)
Enumeration Date
2005-10-21
Last Update Date
2023-12-28
Business Address
Mr. TIMOTHY P HODGES DO. Family Practice
6052 W STATE ST
BOISE, ID 83703-2739
Phone number: 208-955-6500
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Mailing Address
Mr. TIMOTHY P HODGES DO. Family Practice
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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