Individual
DR. MARK ANDREW SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-8036
Mailing address
3020 CHILDRENS WAY, MC5075, SAN DIEGO, CA 92123-4223
(858) 966-8036
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2039
TN
208000000X
Pediatrics Physician
20A14653
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
20A14653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517882
—
TN
Enumeration date
05/28/2007
Last updated
06/08/2016
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