Individual
PAUL SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1503 S MUNN AVE, MARYVILLE, MO 64468-2757
(660) 562-3511
Mailing address
1503 S MUNN AVE, MARYVILLE, MO 64468-2757
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
900259
MO
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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