Individual
RYAN R SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2521 GLENN HENDREN DR, SUITE 204, LIBERTY, MO 64068-3388
(816) 781-6066
(816) 792-5130
Mailing address
2521 GLENN HENDREN DR, SUITE 204, LIBERTY, MO 64068-3388
(816) 781-6066
(816) 792-5130
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2004012117
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2004012117
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0388010001
DMERC
—
05
—
1477597037
—
MO
01
—
475000006
MEDICARE PTAN
MO
Enumeration date
06/15/2006
Last updated
09/26/2018
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