Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 05353R | LA |
NPI | 1184620379 |
---|---|
Provider Name | Dr. David W. Snyder |
First Address | Metairie, LA 70006-2970 |
Second Address | Metairie, LA 70006-2970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 16/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1312789 | (05) | LA |
B61640 | (02) |