Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG001953 | PA |
NPI | 1003016304 |
---|---|
Provider Name | Dr. John Mark Snyder |
First Address | York, PA 17403-4254 |
Second Address | York, PA 17403-4254 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 19/08/2019 |