Individual
MARYTENA B. HODGES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11238 CORNELL PARK DR, CINCINNATI, OH 45242-1812
(513) 530-0200
(513) 530-0730
Mailing address
11238 CORNELL PARK DR, CINCINNATI, OH 45242-1812
(513) 530-0200
(513) 530-0730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35067703
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232840
—
OH
Enumeration date
07/28/2005
Last updated
07/08/2007
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