Individual
DR. TRAVIS G. SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 N 200 W, SUIE 209, BOUNTIFUL, UT 84010-7079
(801) 298-1300
(801) 296-6199
Mailing address
10696 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3525
(801) 563-0333
(801) 563-0335
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6259489-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107052995101
SELECTHEALTH
UT
01
—
107052995102
SELECTHEALTH
UT
05
—
123199500
—
WY
01
—
62594891200001
BCBSUT
UT
01
—
62594891202001
BCBSUT
UT
05
—
807530301
—
ID
01
—
948685
DMBA
UT
05
—
D6845
—
UT
01
—
P00353464
RR MEDICARE
UT
01
—
P00651562
RR MEDICARE
UT
Enumeration date
11/09/2005
Last updated
05/31/2019
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