Mark Alan Smith DPM

  • NPI 1093885378
According to our database, the NPI number for Mark Alan Smith DPM is 1093885378 and activated since 17 years ago. Mark Alan Smith DPM is an individual provider who specializes in Podiatrist, and the primary practice location is 3322 W Willow Knolls Dr, Peoria, IL 61614. You can also contact Mark Alan Smith DPM via telephone number is (309) 691-5800. Provider NPI information was last updated on 12/03/2009.

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Overview of Mark Alan Smith DPM

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/08/2006
  • Last updated: 12/03/2009

Primary Scrop of Practice

  • Taxonomy Code: 213E00000X
  • Specialty: Podiatrist
  • License Number: 016004790
  • License State: IL

Provider Mailing Address

  • Address: 3322 W Willow Knolls Dr
    Peoria, IL 61614
  • Phone: 309-691-5800
  • Fax: 309-691-1336

Provider Practice Location

  • Address: 3322 W Willow Knolls Dr
    Peoria, IL 61614
  • Phone: 309-691-5800
  • Fax: 309-691-1336

Scope of Practice

  • Taxonomy Code: 213E00000X
  • Specialty: Podiatrist
  • License Number: 016004790
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0007215174
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mark Alan Smith DPM?
  • A: The npi number for Mark Alan Smith DPM is 1093885378.
  • Q: What are Mark Alan Smith DPM's specialties?
  • A: Mark Alan Smith DPM's specialties are Podiatrist and different specialities.
  • Q: What is the medical license for Mark Alan Smith DPM?
  • A: The medical license number for Mark Alan Smith DPM is 016004790 and issued in IL in USA.
  • Q: Where is Mark Alan Smith DPM practice location?
  • A: Mark Alan Smith DPM is practicing at 3322 W Willow Knolls Dr, Peoria, IL 61614.
  • Q: How to contact Mark Alan Smith DPM?
  • A: You can contact Mark Alan Smith DPM via 309-691-5800.