Individual
DR. NAN E HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
500 FOOTHILL BLVD, MAIL STOP #112, SLC, UT 84148-0001
(801) 582-1565
(801) 584-2587
Mailing address
500 FOOTHILL BLVD, MAIL STOP #112, SLC, UT 84148-0001
(801) 582-1565
(801) 584-2587
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
4769118-0501
UT
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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