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Mr. Mark T Kidon, DPM
Foot & Ankle Surgery Podiatrist in Pasadena, California
NPI 1700999810

Mark T Kidon is a Foot & Ankle Surgery Podiatrist based in Pasadena, CA and is specialized in Foot & Ankle Surgery. Mark T Kidon practices in Pasadena, CA and has the professional credentials of DPM. The NPI Number for Mark T Kidon is 1700999810 and holds a License No. E3196 (California).

The current practice location address for Mark T Kidon is 10 Congress St, Pasadena, CA and can be reached out via phone at 626-799-1194 and via fax at 626-449-9862.

Location: 10 Congress St, Pasadena, CA, 91105-3045
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Provider Profile Details
NPI Number
1700999810
Provider Name
Mark T Kidon
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10 Congress St, Pasadena, CA, 91105-3045
Phone Number
626-799-1194
Fax Number
626-449-9862
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E3196 01 CA STATE LICENSE
00E1960 05 CA
institution
Provider Business Practice Location Address Details
Address
10 Congress St
City
State
Zip
91105
Phone Number
626-799-1194
Fax Number
626-449-9862
person
Provider Business Mailing Address Details
Address
10 Congress St
City
State
Zip
91105
Phone Number
626-799-1194
Fax Number
626-449-9862
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E3196 (California)
Definition
Definition to come...
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