Provider Demographics
NPI:1770506552
Name:HODGE, THURMAN 'BUD' FOREST (DO)
Entity Type:Individual
Prefix:DR
First Name:THURMAN 'BUD'
Middle Name:FOREST
Last Name:HODGE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4860 ROBB ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2184
Mailing Address - Country:US
Mailing Address - Phone:303-278-7418
Mailing Address - Fax:888-341-5050
Practice Address - Street 1:300 W SOUTH AVE
Practice Address - Street 2:SUITE 9029
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80866-7001
Practice Address - Country:US
Practice Address - Phone:719-464-2049
Practice Address - Fax:719-687-3891
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2013-11-15
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Provider Licenses
StateLicense IDTaxonomies
CO31265207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COF20527Medicare UPIN