Individual
BRAD SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 E STROOP RD, SUITE 200, KETTERING, OH 45429-5065
(937) 208-7400
(937) 208-7405
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35069690S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026542
—
OH
Enumeration date
06/07/2006
Last updated
10/23/2020
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