MARK SMITH, DPM

Podiatrist

Active Individual
NPI: 1093885378

Practice Address

3322 W WILLOW KNOLLS DR
Peoria, IL 61614

Phone: (309) 691-5800

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes 016004790 (IL)

Frequently Asked Questions

NPI 1093885378 is the National Provider Identifier for MARK SMITH, DPM, a Podiatrist provider located in Peoria, IL. This NPI was enumerated on November 8, 2006.
MARK SMITH, DPM practices at 3322 W WILLOW KNOLLS DR, Peoria, IL 61614.

Quick Facts

NPI
1093885378
Type
Individual
Enumerated
Nov 8, 2006
Last Updated
Dec 3, 2009

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