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Organization
SALT LAKE CITY VA
Active
Organization
SALT LAKE CITY VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAN HODGE DPM (PODIATRIST)
(801) 654-1046
Entity
Organization
Contact information
Practice address
500 FOOTHIL DR, SALT LAKE CITY, UT 84010
(801) 654-1046
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0
UT
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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