Jeffrey R Hodgson MD Corporation
NPI #1164146684 in Fiddletown, California
Provider Information
- NPI Number
- 1164146684
- Entity Type
- Organization
- Organization Name
- Jeffrey R Hodgson MD Corporation
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 28, 2022
- Last Updated
- Sep 28, 2022
Practice Location
- Address
- 20100 QUARTZ MOUTAIN ROAD NORTH
- City
- Fiddletown
- State
- California
- ZIP Code
- 95629
- Phone
- (312) 305-9378
Authorized Official
- Name
- JEFFREY ROSS HODGSON
- Title
- OWNER
- Phone
- (312) 305-9378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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