Individual
DR. SARAH FLORENCE HODACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49063
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57100063
—
CO
Enumeration date
06/02/2009
Last updated
04/28/2016
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