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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NAN E HODGE, D.P.M.

Active Sole Proprietor

DR. NAN E HODGE, D.P.M. is a Podiatrist healthcare provider located in SLC, Utah. NPI 1699863332 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · SLC, UT

Registration Details

NPI Number
1699863332
Provider Type
Individual
Gender
Female
NPI Issued
Oct 10, 2006 (19.81284050808 yrs)
Last Updated
Jul 8, 2007
License
4769118-0501 (UT)
Sole Proprietor
Yes

Practice Information

Address
500 FOOTHILL BLVD
MAIL STOP #112
SLC, UT, 841480001
Browse UT providers · Browse ZIP 84148
Phone
8015821565
Fax
8015842587
Primary Specialty
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.