MEDICARE: AUSTIN HODGES PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	10922	AZ

General Provider Information

NPI Number	:	1780300459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN HODGES PA-C

Provider Business Mailing Address
First Line	:	22455 N MILLER RD STE B100
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4956
Country	:	US
Telephone Number	:	480-435-9100
Fax Number	:	480-702-0083

Provider Business Practice Location Address
First Line	:	22455 N MILLER RD STE B100
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4956
Country	:	US
Telephone Number	:	480-435-9100
Fax Number	:	480-702-0083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2022
Last Update Date	:	03/28/2025

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Directions to “ AUSTIN HODGES PA-C” Practice Location

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