Individual
NEIL S SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
16087 MANCHESTER RD, ELLISVILLE, MO 63011-2103
(636) 230-3883
(636) 230-3884
Mailing address
16087 MANCHESTER RD, ELLISVILLE, MO 63011
(636) 230-3883
(636) 230-3884
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000660
MO
213E00000X
Podiatrist
Primary
9410M1971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303056709
—
MO
01
—
4696830001
DMERC
MO
01
—
480030905
RRMC
MO
01
—
501463806
GROUP NUMBER
—
01
—
990001778
GROUP NUMBER
—
01
—
CK2632
GROUP NUMBER
—
Enumeration date
11/16/2005
Last updated
01/15/2013
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