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Individual
PAUL A SNOWDY
Active
Individual
PAUL A SNOWDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001703
IA
363A00000X
Physician Assistant
1220
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27099
WELLMARK BLUE SHIELD
IA
01
—
IA0100
UHC OF THE RIVER VALLEY
IA
Enumeration date
06/07/2006
Last updated
04/25/2008
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