Mark T Kidon, DPM Valid NPI

Individual provider · Foot & Ankle Surgery Podiatrist · Pasadena, CA

NPI

1700999810

Type

Individual (Type 1)

Primary specialty

Foot & Ankle Surgery Podiatrist (Podiatrist)

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213ES0103X

License number

E3196 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-16

Last updated

2008-02-12