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Mark Smith, DPM
NPI 1093885378 · on the registry since 2006
Practice
- Address
- 3322 W Willow Knolls Dr
Peoria, IL 61614 - Phone
- (309) 691-5800
- Fax
- (309) 691-1336
- Organisation at this address
- Justin R. Ahlman, M.D.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Podiatrist
213E00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois