Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0101254010 | VA |
Y | 207QA0505X | Family Doctor - Adult Medicine | 9034 | AR |
NPI | 1073834305 |
---|---|
Provider Name | Emily Kathleen Snodgrass |
First Address | Hot Springs, AR 71903-1850 |
Second Address | Hot Springs, AR 71913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 08/08/2018 |