Individual
DR. HARLAN DRU HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1906
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1906
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
118457
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205195522
—
MO
Enumeration date
11/18/2005
Last updated
06/06/2024
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