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Individual

DR. PAMELA HARTING SNOOK-TIDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2026 N EWING ST STE 200, SEYMOUR, IN 47274-3480
(812) 524-3333
(812) 524-3334
Mailing address
2026 N EWING ST, SEYMOUR, IN 47274-3480
(812) 524-3333
(812) 524-3334

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047138A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000092362
ANTHEM
IN
05
200117390
IN
05
200117390A
IN
Enumeration date
11/28/2005
Last updated
03/12/2024
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