MR. Mario Donald Hodge, C.PED
NPI #1023369501 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1023369501
- Entity Type
- Individual
- Name
- MR. Mario Donald Hodge, C.PED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pedorthist
- Credential
- C.PED
- Enumeration Date
- Sep 25, 2012
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 1024 JORDAN ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-4231
- Phone
- (618) 242-4442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pedorthist |
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