Individual
PAUL L SNODDERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8006
Mailing address
PO BOX 7179, LOVELAND, CO 80537-0179
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24781
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01247816
—
CO
Enumeration date
07/06/2006
Last updated
07/08/2007
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