Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | DS018965L | PA |
N | 207L00000X | Anesthesiologist | DA018965A | PA |
NPI | 1063479988 |
---|---|
Provider Name | Dr. Richard M Snyder |
First Address | Pittsburgh, PA 15237-5818 |
Second Address | Pittsburgh, PA 15237-5818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U10532 | (02) | PA |