Individual
DR. DAVID JOTHAM SNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475-750 RICE CANYON ROAD, MEDICAL ADMINISTRATION, SUSANVILLE, CA 96127
(530) 251-5100
Mailing address
PO BOX 701, TRABUCO CANYON, CA 92678-0701
(949) 589-9595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G-39754
CA
2083A0100X
Aerospace Medicine Physician
G39754
CA
Other
Enumeration date
09/27/2005
Last updated
09/18/2019
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