Individual
BRUCE ALLEN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE C300, GREENVILLE, SC 29615-3593
(864) 454-8272
(864) 454-2875
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
13279
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132797
—
SC
01
—
1561735
CIGNA ID
SC
01
—
4336481
AETNA ID
SC
01
—
576007863071
BCBS OF SC ID
SC
01
—
770002515
RR MEDICARE
SC
Enumeration date
05/25/2006
Last updated
02/15/2018
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