Organization
PETER C SMITH DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER C SMITH DPM (PODIATRIST SOLE PROPRIETOR)
(717) 560-4310
Entity
Organization
Contact information
Practice address
300 GRANITE RUN DR, SUITE 160, LANCASTER, PA 17601-6806
(717) 560-4310
(717) 560-3452
Mailing address
300 GRANITE RUN DR, SUITE 160, LANCASTER, PA 17601-6806
(717) 560-4310
(717) 560-3452
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003298L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014543670002
—
PA
Enumeration date
11/26/2007
Last updated
04/14/2008
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