Individual
MR. ETHAN LOWELL SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
368 E RIVERSIDE DR, SUITE A, ST GEORGE, UT 84790-6896
(435) 215-1611
(435) 673-1182
Mailing address
6360 SOUTH 3000 EAST, #300, SALT LAKE CITY, UT 84121-6926
(801) 944-3144
(801) 944-3186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7426326-1206
UT
363AM0700X
Medical Physician Assistant
7426326-1206
UT
363AM0700X
Medical Physician Assistant
7426326-8906
UT
Other
Enumeration date
08/18/2009
Last updated
12/11/2022
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