Individual
RILEY J SNOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11725 ILLINOIS ST, CARMEL, IN 46032-3008
(317) 948-5450
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01053264A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200323370
—
IN
01
—
P00754049
RAILROAD MEDICARE PTAN
IN
Enumeration date
07/08/2005
Last updated
03/11/2025
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