Individual
GREGORY T. SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3061 FIELDSTONE WAY, STE. 500, LEXINGTON, KY 40513-9006
(859) 258-8530
(859) 258-8515
Mailing address
3061 FIELDSTONE WAY, STE. 500, LEXINGTON, KY 40513-9006
(859) 258-8530
(859) 258-8515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30197
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64001977
—
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
07/18/2006
Last updated
03/31/2008
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