Individual
KEVIN R SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1250 NW 128TH ST, SUITE 150, CLIVE, IA 50325-7432
(515) 223-9595
(515) 223-9792
Mailing address
1250 NW 128TH ST, SUITE 150, CLIVE, IA 50325-7432
(515) 223-9595
(515) 223-9792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1995
IA
Other
Enumeration date
01/20/2006
Last updated
12/14/2012
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