Provider Demographics
NPI:1073755492
Name:HODGIN, ACE MONROE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ACE
Middle Name:MONROE
Last Name:HODGIN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4228 WAILEIA PLACE
Mailing Address - Street 2:
Mailing Address - City:PRINCEVILLE
Mailing Address - State:HI
Mailing Address - Zip Code:96722
Mailing Address - Country:US
Mailing Address - Phone:813-334-9125
Mailing Address - Fax:808-826-7962
Practice Address - Street 1:4228 WAILEIA PLACE
Practice Address - Street 2:
Practice Address - City:PRINCEVILLE
Practice Address - State:HI
Practice Address - Zip Code:96722
Practice Address - Country:US
Practice Address - Phone:813-334-9125
Practice Address - Fax:808-826-7962
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2016-02-15
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Provider Licenses
StateLicense IDTaxonomies
HIMD-12384207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine