Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CP002973 | CA |
N | 222Z00000X | Podiatrist | CP002973 | CA |
N | 224P00000X | Prosthetist | ||
Y | 224P00000X | Prosthetist | CP002973 | CA |
N | 225000000X | Orthotic Fitter | CP002973 | CA |
NPI | 1093903569 |
---|---|
Provider Name | William Brian Snider |
First Address | Tracy, CA 95304-9314 |
Second Address | Redding, CA 96001-1800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2007 |
Last Update Date | 14/02/2012 |