Individual
LEROY W HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 CHATBURN AVE, HARLAN, IA 51537-2009
(712) 755-4376
(712) 755-4347
Mailing address
1220 CHATBURN AVE, HARLAN, IA 51537-2009
(712) 755-4376
(712) 755-4347
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
30115
MN
208600000X
Surgery Physician
66366
TN
208600000X
Surgery Physician
Primary
MD-50086
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
961423100
—
MN
Enumeration date
01/25/2006
Last updated
06/28/2023
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