Individual
JEREMY W SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 ENCINO PL NE, ALBUQUERQUE, NM 87102
(505) 272-1312
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2018-0679
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2017-0974
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2014
Last updated
10/23/2024
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