Individual
DR. CHARLES LLOYD SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3576
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3576
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
04-25273
KS
2086S0120X
Pediatric Surgery Physician
Primary
R3N51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-25273
MEDICAL LICENSE
KS
05
—
207672122
—
MO
01
—
R3N51
MEDICAL LICENSE
MO
Enumeration date
05/10/2006
Last updated
06/13/2011
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