Individual
DR. SNELL FONTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1881 2ND ST, STE 201, SPRINGFIELD, OR 97477-2145
(541) 684-4716
(541) 683-9790
Mailing address
PO BOX 10882, EUGENE, OR 97440-2882
(541) 684-4716
(541) 683-9790
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20286
OR
2086S0127X
Trauma Surgery Physician
MD20286
OR
208C00000X
Colon & Rectal Surgery Physician
MD20286
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086108
—
OR
05
—
1485633
—
CA
05
—
1681306
—
TX
Enumeration date
03/22/2007
Last updated
01/27/2016
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