Individual
DR. BRENT WALTER SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MBA
Contact information
Practice address
100 N MARIO CAPECCHI DR, STE. 2200, SALT LAKE CITY, UT 84113-1103
(801) 662-5555
(801) 662-5547
Mailing address
PO BOX 413035, SALT LAKE CITY, UT 84141-3035
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
841716741205
UT
208800000X
Urology Physician
841716741205
UT
2088P0231X
Pediatric Urology Physician
Primary
171674-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3048900
—
ID
Enumeration date
08/11/2006
Last updated
11/28/2017
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