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1295140648
HODGES FAMILY MEDICINE, PLLC
MERIDIAN, ID
NPI
1295140648
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Entity Type
Organization
Authorized Contact
TIMOTHY HODGES
Owner
208-854-9534
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-109)
Enumeration Date
2014-06-24
Last Update Date
2014-06-24
Business Address
HODGES FAMILY MEDICINE, PLLC
2947 E MAGIC VIEW DR SUITE #1
MERIDIAN, ID 83642-3561
Phone number: 208-854-9534
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Mailing Address
HODGES FAMILY MEDICINE, PLLC
1350 S FIVE MILE RD #191220
BOISE, ID 83719-0020
Phone number: 208-854-9534
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