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Individual
DR. GREGORY SNODGRASS
Active
Individual
DR. GREGORY SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME50106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02963
BLUE CROSS BLUE SHIELD
FL
05
—
0458422000
—
FL
01
—
5329094
AETNA
FL
01
—
EXF39
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/24/2006
Last updated
03/13/2017
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