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Contact Information

RYAN HODNICK, DO
80 B VETERANS BLVD
ACOMA PUEBLO, NM87034
 Phone: 505-552-5300
 Fax: 505-552-5490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RYAN HODNICK · (Male)

NPI Number 1073837704
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/24/2010
Last updated 12/28/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NM License # A-1756-13
  • NM Medicaid H3451
Hospital affiliation(s)
  • CARLSBAD MEDICAL CENTER - (Acute Care)
    2430 WEST PIERCE STREET
    CARLSBAD, NM 88220
  • CROWNPOINT HEALTHCARE FACILITY - (Acute Care)
    JUNCTION OF HWY 371
    CROWNPOINT, NM 87313
  • ROOSEVELT GENERAL HOSPITAL - (Acute Care)
    42121 US HIGHWAY 70
    PORTALES, NM 88130
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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