Organization
BRUCE SNIDER MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE A SNIDER MD (BUSINESS OWNER)
(859) 341-5014
Entity
Organization
Contact information
Practice address
510 GRAVES AVE STE 210, ERLANGER, KY 41018-3309
(859) 341-5014
(859) 341-5136
Mailing address
510 GRAVES AVE STE 210, ERLANGER, KY 41018-3309
(859) 341-5014
(859) 341-5136
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64168354
—
KY
Enumeration date
11/14/2006
Last updated
09/12/2025
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