Individual
DR. LARRY D SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2100 E MECHANIC ST, HARRISONVILLE, MO 64701
(816) 884-5212
Mailing address
1700 TWIN OAKS DR, HARRISONVILLE, MO 64701-2935
(816) 380-6054
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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