Individual
DR. MARK P HODGKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5839 E WASHINGTON ST, INDIANAPOLIS, IN 46219
(317) 353-9777
(317) 357-6922
Mailing address
PO BOX 664056, INDIANAPOLIS, IN 46266-4056
(317) 353-9777
(317) 357-6922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032194A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100188530A
—
IN
Enumeration date
11/18/2005
Last updated
10/09/2013
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