Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC0001789L | PA |
Y | 222Z00000X | Podiatrist | SC0001789L | PA |
N | 213EP1101X | Primary Podiatric Medicine | SC001789L | PA |
N | 111NR0200X | Radiology | SC001789L | PA |
N | 213ER0200X | Radiology | SC001789L | PA |
N | 2081S0010X | Sports Medicine | SC001789L | PA |
N | 213ES0000X | Sports Medicine | SC001789L | PA |
N | 213ES0131X | Foot Surgery | SC001789L | PA |
NPI | 1831152339 |
---|---|
Provider Name | Harry C Snyder |
First Address | Murrysville, PA 15668-1869 |
Second Address | Murrysville, PA 15668-1869 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 07/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T28639 | (02) | PA |