Individual
DR. PETER C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
300 GRANITE RUN DRIVE, SUITE 160, LANCASTER, PA 17601-6809
(717) 560-4310
(717) 560-3452
Mailing address
300 GRANITE RUN DRIVE, SUITE 160, LANCASTER, PA 17601-6809
(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
—
0014543670004
—
PA
01
—
480019276
RAIL ROAD MEDICARE
PA
Enumeration date
08/18/2005
Last updated
01/25/2017
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