# DR. JONATHAN A SNELLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417987991
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS008630L | PA | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 06/07/2021

## 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 |