Provider Demographics
NPI:1518014414
Name:HODGES, CLAUDIA CONN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:CONN
Last Name:HODGES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 450 BOX 216
Mailing Address - Street 2:APO AP 96206
Mailing Address - City:SEOUL
Mailing Address - State:SOUTH KOREA
Mailing Address - Zip Code:96206
Mailing Address - Country:KR
Mailing Address - Phone:0109-289-0891
Mailing Address - Fax:
Practice Address - Street 1:HHC 18TH MEDCOM, YONGSAN
Practice Address - Street 2:APO AP 96205
Practice Address - City:SEOUL
Practice Address - State:KOREA
Practice Address - Zip Code:96205
Practice Address - Country:KR
Practice Address - Phone:0109-289-0891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110002032363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant