Individual
MARY SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 5TH ST, SUITE 101, RAPID CITY, SD 57701-6014
(605) 343-7208
(605) 343-7132
Mailing address
3615 5TH ST STE 101, RAPID CITY, SD 57701-7360
(605) 343-7208
(605) 343-7132
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
21329
NE
2086S0122X
Plastic and Reconstructive Surgery Physician
21329
NE
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
5984
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026079700
—
NE
05
—
47078557586
—
NE
Enumeration date
05/15/2006
Last updated
02/24/2023
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