Individual
MR. DOUGLAS BRYANT HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
9591 VALPARAISO CT, INDIANAPOLIS, IN 46268-1130
(317) 218-4270
(317) 218-4271
Mailing address
9591 VALPARAISO CT, INDIANAPOLIS, IN 46268-1130
(317) 218-4270
(317) 218-4271
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO001774
DE
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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