Organization
IRVIN JOHN SNYDER
Active
Other names
Jackson Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
IRVIN JOHN SNYDER DO (PHYSICIAN)
(304) 372-7617
Entity
Organization
Contact information
Practice address
174 PINNELL ST, SUITE A, RIPLEY, WV 25271-9103
(304) 372-7617
(304) 372-7619
Mailing address
174 PINNELL ST, SUITE A, RIPLEY, WV 25271-9103
(304) 372-7617
(304) 372-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1413
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046068000
—
WV
Enumeration date
04/26/2007
Last updated
10/18/2016
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