Individual
LESLIE ELIZABETH SNIDER
Active
Individual
LESLIE ELIZABETH SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001148A
IN
363AM0700X
Medical Physician Assistant
5601005379
MI
363AS0400X
Surgical Physician Assistant
Primary
10001148A
IN
Other
Enumeration date
05/14/2008
Last updated
11/15/2024
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