Individual
ERICA G SNIDER-THAMMAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 SYCAMORE CREEK DR, SPRINGBORO, OH 45066-2300
(937) 748-4211
(937) 748-3566
Mailing address
5 SYCAMORE CREEK DR, SPRINGBORO, OH 45066-2300
(937) 748-4211
(937) 748-3566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
237301
NY
207Q00000X
Family Medicine Physician
Primary
35.094616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058539
—
OH
05
—
02705888
—
NY
Enumeration date
01/05/2007
Last updated
11/13/2013
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