Individual
GRADY KING SNYDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3443 ALPINE DR, CASPER, WY 82601-5917
(307) 441-1026
Mailing address
3443 ALPINE DR, CASPER, WY 82601-5917
(307) 441-1026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101286323
VA
207Q00000X
Family Medicine Physician
27626
CO
207Q00000X
Family Medicine Physician
Primary
9504A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276260
—
CO
01
—
P00942266
RR MEDICARE
CO
Enumeration date
06/20/2006
Last updated
09/05/2025
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