Organization
MAPLE LEAF FAMILY AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD C HODDINOTT MD (PARTNER)
(937) 592-3808
Entity
Organization
Contact information
Practice address
2211 TIMBER TRAIL, BELLEFONTAINE, OH 43311
(937) 592-3808
(937) 593-8404
Mailing address
2211 TIMBER TRAIL, BELLEFONTAINE, OH 43311
(937) 592-3808
(937) 593-8404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2225827
—
OH
Enumeration date
12/01/2006
Last updated
02/19/2025
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