Organization
SNELL FONTUS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SNELL FONTUS MD (DOCTOR)
(541) 684-4716
Entity
Organization
Contact information
Practice address
1053 HIGH ST, EUGENE, OR 97401-3205
(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
2086S0127X
Trauma Surgery Physician
Primary
MD20286
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086108
—
OR
Enumeration date
04/11/2007
Last updated
08/22/2020
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