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Individual

TRAVIS H.W. SNYDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(919) 923-3714
Mailing address
6300 W TROPICANA AVE TRLR 73, LAS VEGAS, NV 89103-4415
(919) 923-3714

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101018335
MI
390200000X
Student in an Organized Health Care Education/Training Program
OS12448
FL

Other

Enumeration date
06/29/2009
Last updated
02/03/2016
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