Individual
MATTHEW GRAEN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3205 WOODMAN DR, DAYTON, OH 45420-1143
(937) 298-4417
(937) 298-8260
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 713-1779
(513) 854-9921
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34-00-8814-H
OH
208100000X
Physical Medicine & Rehabilitation Physician
OS012397
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2668699
—
OH
Enumeration date
07/12/2006
Last updated
11/09/2023
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