Individual
DR. CECIL E SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00015382
WA
208D00000X
General Practice Physician
Primary
MD00015382
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517101
—
WA
Enumeration date
02/22/2006
Last updated
11/10/2016
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