Individual
MARCIA MARIE SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2200 SUMMERLON CIR, SUITE A, DODGE CITY, KS 67801-2900
(620) 408-9700
(620) 408-9701
Mailing address
20854 SW 213 RD, JETMORE, KS 67854-5358
(620) 357-6428
(620) 408-9701
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
45402
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100428160A
—
KS
Enumeration date
08/25/2005
Last updated
12/17/2015
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