Individual
SEAN M SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY ST FL 4, MISSOULA, MT 59802-4008
(406) 327-1940
(406) 327-1974
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60199078
WA
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-88718
MT
208M00000X
Hospitalist Physician
MD60199078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0278101
L&I
WA
05
—
2013004
—
WA
Enumeration date
06/08/2007
Last updated
04/06/2021
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