NPI 1174020317

Douglas Bryant Hodge, CO

Practitioner Orthotist Indianapolis, IN

Practice location

Address: 9591 Valparaiso CT, Indianapolis, IN 46268-1130
Phone: (317) 218-4270
Fax: (317) 218-4271

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CO001774 (DE)

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Registry record

NPI: 1174020317
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2018
Record last updated: 12 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.