Individual
TODD C. SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012-01635
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
2005-00319
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821085192
CHAMPUS
NC
05
—
5922015
—
NC
05
—
MD2408
—
AK
01
—
P01154197
RAILROAD MEDICARE
NC
Enumeration date
10/03/2005
Last updated
11/21/2013
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