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Individual

SCOTT A SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
M9398
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M9398
STATE LICENCE #
ID
Enumeration date
07/07/2006
Last updated
09/18/2012
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