Individual
JOHN P. SNEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
917 29TH ST SE, WATERTOWN, SD 57201-9123
(605) 884-2420
(605) 884-2425
Mailing address
917 29TH ST SE, WATERTOWN, SD 57201-9123
(605) 884-2420
(605) 884-2425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4238
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003042
—
SD
01
—
A021
TRICARE
—
Enumeration date
08/11/2005
Last updated
12/02/2010
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