Mark A Herndon, CPED

NPI #1790118289 in Fletcher, North Carolina

Provider Information

NPI Number: 1790118289
Entity Type: Individual
Name: Mark A Herndon, CPED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pedorthist
Credential: CPED
Enumeration Date: Aug 20, 2013
Last Updated: Aug 20, 2013

Practice Location

Address: 3845 HENDERSONVILLE RD
City: Fletcher
State: North Carolina
ZIP Code: 28732-8241
Phone: (828) 684-1644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X
Pedorthist	224L00000X	Primary

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