Individual
JOHN SNOW
Active
Individual
JOHN SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME98236
FL
207ND0900X
Dermatopathology Physician
Primary
ME98236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AE295Z
MEDICARE
FL
Enumeration date
05/25/2007
Last updated
08/22/2011
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