Organization
CARMEL ORTHODESIGN, LLC
Active
Other names
Ortho Design
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS BRYANT HODGE C.O. (SOLE MEMBER / ORTHOTIST)
(317) 407-7049
Entity
Organization
Contact information
Practice address
9591 VALPARAISO CT, INDIANAPOLIS, IN 46268-1130
(317) 218-4270
(317) 218-4271
Mailing address
9591 VALPARAISO CT, INDIANAPOLIS, IN 46268-1130
(317) 218-4270
(317) 218-4271
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201194350A
—
IN
Enumeration date
04/12/2013
Last updated
12/13/2016
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