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Individual

DONALD F HODURSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 S UNION ST, MONTGOMERY, AL 36130-3022
(334) 301-2825
Mailing address
PO BOX 49, FITZPATRICK, AL 36029-0049
(334) 301-2825
(334) 738-3260

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00005785
AL
207X00000X
Orthopaedic Surgery Physician
01023439A
IN
207X00000X
Orthopaedic Surgery Physician
ME90799
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000037186
AL
05
009939391
AL
01
0910073
UNITED HEALTHCARE
AL
01
200026240
RAILROAD MEDICARE
01
510-07507
BCBS
AL
01
510-37186
BCBS
AL
Enumeration date
03/21/2006
Last updated
01/15/2015
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