# SNELL FONTUS, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134342538
- **Authorized official:** SNELL FONTUS MD (DOCTOR)
- **Authorized official phone:** (541) 684-4716

## Contact information

- **Practice address:** 1053 HIGH ST, EUGENE, OR 97401-3205
- **Practice address phone:** (541) 684-4716
- **Practice address fax:** (541) 683-9790
- **Mailing address:** PO BOX 10882, EUGENE, OR 97440-2882
- **Mailing address phone:** (541) 684-4716
- **Mailing address fax:** (541) 683-9790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | MD20286 | OR | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 086108 | — | OR |