Individual
DEREK LEE SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E PRIMROSE ST STE 170, SPRINGFIELD, MO 65807-5192
(417) 269-2121
Mailing address
235 KINGS WAY DR, MARSHFIELD, MO 65706-8048
(417) 763-2192
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019026920
MO
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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