Individual
DR. BRUCE ALAN SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 GRAVES AVE STE 210, ERLANGER, KY 41018-3309
(859) 341-5014
(859) 341-5136
Mailing address
510 GRAVES AVE STE 210, ERLANGER, KY 41018-3309
(859) 341-5014
(859) 341-5136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16835
KY
2084P0800X
Psychiatry Physician
16835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64168354
—
KY
Enumeration date
11/13/2006
Last updated
09/16/2020
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