Individual
MR. BRUCE OSWALD SNOWDEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2816
Mailing address
1081 GUEST DR, VIRGINIA BEACH, VA 23454-6762
(757) 426-3201
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001084
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201001084
STATE LICENSE NUMBER
VA
Enumeration date
01/19/2006
Last updated
07/08/2007
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