Mark Alan Smith, DPM

NPI #1093885378 in Peoria, Illinois

Provider Information

NPI Number: 1093885378
Entity Type: Individual
Name: Mark Alan Smith, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Nov 8, 2006
Last Updated: Dec 3, 2009

Practice Location

Address: 3322 W WILLOW KNOLLS DR
City: Peoria
State: Illinois
ZIP Code: 61614
Phone: (309) 691-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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