Individual
WILVEN SMOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 FILBERT ST STE 111, PHILADELPHIA, PA 19104
(215) 662-9563
Mailing address
13719 NW 16TH AVE, VANCOUVER, WA 98685-1810
(206) 861-4921
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
11235813
PA
Other
Enumeration date
03/22/2025
Last updated
07/30/2025
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