Individual
DR. LARRY D SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02305
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W720774
MEDICARE ID-UNSPECIFIED
MO
Enumeration date
07/10/2006
Last updated
01/06/2010
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