Individual
DR. JACK WALTER SNARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 SW FIRST AMERICAN PL, TOPEKA, KS 66604-4059
(785) 234-2306
(785) 234-2550
Mailing address
1303 SW FIRST AMERICAN PL, TOPEKA, KS 66604-4059
(785) 234-2306
(785) 234-2550
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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