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Individual
DR. JONATHAN A SNELLER
Active
Individual
DR. JONATHAN A SNELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008630L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015335040006
—
PA
01
—
50051196
CAPITAL BLUE
PA
01
—
784458
HIGHMARK/FREEDOM BLUE
—
01
—
P002401
GATEWAY
PA
01
—
P00256445
RAILROAD MEDICARE
PA
Enumeration date
07/03/2006
Last updated
06/07/2021
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