Individual
DR. GLENN RUSSELL SNIDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MAIL STOP 11, CLARKSBURG, WV 26301
(304) 623-7606
(304) 626-7026
Mailing address
RR 2 BOX 80, LAKE FLOYD, BRISTOL, WV 26332-9313
(304) 623-3461
(304) 626-7026
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
12747
WV
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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