Individual
CHRIS B SNAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
825 E 8TH ST, WINNER, SD 57580-2688
(605) 842-2626
(605) 842-3557
Mailing address
825 E 8TH ST, WINNER, SD 57580-2688
(605) 842-2626
(605) 842-3557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0333
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0851370001
DME
—
05
—
6826020
—
SD
Enumeration date
10/18/2006
Last updated
10/06/2011
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