Individual
MELVIN D. HODDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 S PINE ST, PIERCE CITY, MO 65723-1409
(417) 476-5140
Mailing address
2221 ELM ST, RAWLINS, WY 82301-5108
(307) 324-2221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11449A
WY
207P00000X
Emergency Medicine Physician
R5P19
MO
207Q00000X
Family Medicine Physician
R5P19
MO
Other
Enumeration date
03/03/2006
Last updated
04/23/2018
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