Individual provider · Type 1 NPI
Mario Donald Hodge, C.PED
Pedorthist · Mount Vernon, IL
NPI number
1023369501
Active
Practice location
1024 Jordan St
Mount Vernon, IL 62864-4231
Fax (618) 242-3942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | 212.000161 (IL) |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Another provider at this address
About NPI 1023369501
Mario Donald Hodge, C.PED's National Provider Identifier is 1023369501, issued on Sep 25, 2012. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Sep 25, 2012.