Individual
MRS. CHANDRA HODGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-1030
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003648
IL
363AS0400X
Surgical Physician Assistant
Primary
PA.0005366
CO
Other
Enumeration date
11/20/2009
Last updated
02/18/2025
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