DR. Nan E Hodge, D.P.M.

NPI #1699863332 in Slc, Utah

Provider Information

NPI Number: 1699863332
Entity Type: Individual
Name: DR. Nan E Hodge, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Oct 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 500 FOOTHILL BLVD
Address 2: MAIL STOP #112
City: Slc
State: Utah
ZIP Code: 84148-0001
Phone: (801) 582-1565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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