Provider Demographics
NPI:1508085440
Name:HODGES, ALLEN R (MD)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:R
Last Name:HODGES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:211 NORTH WHITFIELD ST
Mailing Address - Street 2:SUITE 389
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3039
Mailing Address - Country:US
Mailing Address - Phone:412-441-9886
Mailing Address - Fax:412-441-1707
Practice Address - Street 1:211 NORTH WHITFIELD ST
Practice Address - Street 2:SUITE 389
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3039
Practice Address - Country:US
Practice Address - Phone:412-441-9886
Practice Address - Fax:412-441-1707
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD038117L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA089665OtherUNISON
PA068886OtherBLUE CROSS
PA0637934Medicaid
PA089665OtherUNISON