Individual
DARLENE SNIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
160 GROSS ST, MARIETTA, OH 45750-2031
(740) 568-5612
(740) 568-5668
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
34.003945
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000539804
ANTHEM
OH
01
—
000000696935
ANTHEM
OH
05
—
0609738
—
OH
05
—
3810005488
—
WV
01
—
P00703835
RRMCR
OH
Enumeration date
05/19/2006
Last updated
10/12/2012
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