Individual
RICHARD HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8060 KNUE RD, INDIANAPOLIS, IN 46250-1976
(317) 842-7435
Mailing address
5602 W WOODVIEW TRL, MC CORDSVILLE, IN 46055-6201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27048860A
IN
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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