Individual
DR. IAN PHILLIP SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
317 W LOCKHART ST, SAYRE, PA 18840-1618
(570) 887-3920
(570) 887-3035
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2490
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
OS019945
PA
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
OS019945
PA
2083P0901X
Public Health & General Preventive Medicine Physician
OS019945
PA
Other
Enumeration date
04/12/2007
Last updated
03/05/2021
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