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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK ALAN SMITH, DPM

Active

MARK ALAN SMITH, DPM is a Podiatrist healthcare provider located in PEORIA, Illinois. NPI 1093885378 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · PEORIA, IL

Registration Details

NPI Number
1093885378
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2006 (19.792031378845 yrs)
Last Updated
Dec 3, 2009
License
016004790 (IL)

Practice Information

Address
3322 W WILLOW KNOLLS DR
PEORIA, IL, 61614
Browse IL providers · Browse ZIP 61614
Phone
3096915800
Fax
3096911336
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in PEORIA, IL

Name Credential NPI
THOMAS KEVIN BRATTAIN DPM 1285613463
TODD J KARAS DPM 1023125127
DR. JOHN CHARLES HART D.P.M. 1629208723
KISHAN PATEL DPM 1689569667
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.