Individual
RUSSELL OWEN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3075 US ROUTE 60 STE A110, HUNTINGTON, WV 25705-8859
(304) 528-4600
Mailing address
3075 US ROUTE 60, HUNTINGTON, WV 25705-8859
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24446
WV
390200000X
Student in an Organized Health Care Education/Training Program
TRN11115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140587
—
OH
05
—
3810020506
—
WV
01
—
P00928935
MEDICARE RAILROAD
—
Enumeration date
08/24/2007
Last updated
04/23/2025
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