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Individual

DR. JACK WALTER SNARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-17362
KS
2085R0202X
Diagnostic Radiology Physician
19122
NE
2085R0202X
Diagnostic Radiology Physician
2003004598
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
052468
BC/BS PREMIER BLUE
KS
05
100116370E
KS
Enumeration date
06/18/2006
Last updated
07/02/2010
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