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Individual

ZACHARY A SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
(317) 962-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02007142A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264430H67
MEDICARE PTAN
IN
05
300077917
IN
01
Q00601693
RAILROAD PTAN
IN
Enumeration date
04/22/2020
Last updated
12/06/2023
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