Individual
DAVID ALAN SNYDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
848 S LA CASSIA DR, BOISE, ID 83705-2253
(208) 344-0086
(208) 466-5359
Mailing address
PO BOX 9, 211 16TH AVE N, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-4684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-286
ID
363AM0700X
Medical Physician Assistant
PA286
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1665280
CIGNA MEDICARE
—
05
—
805539500
—
ID
Enumeration date
03/30/2006
Last updated
11/27/2023
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