Individual
DR. ERIC WYNNE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 708-5172
Mailing address
PO BOX 260831, ENCINO, CA 91426-0831
(310) 379-2134
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A93136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A931360
—
CA
Enumeration date
09/16/2006
Last updated
04/22/2016
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