Individual
BRADLEY WILLIAM SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
7224 NORTH 139TH AVENUE, GLENDALE, AZ 85309
(623) 856-9742
Mailing address
8260 W PURDUE AVE, PEORIA, AZ 85345-3140
(480) 710-0997
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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