Individual
DAVID JOSEPH SNOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
300 W OTTLEY AVE, FRUITA, CO 81521-2118
(970) 858-2705
(970) 858-9961
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 858-2186
(970) 858-2208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
PA.0003384
CO
363AM0700X
Medical Physician Assistant
0110002352
VA
363AS0400X
Surgical Physician Assistant
PA.0003384
CO
Other
Enumeration date
05/09/2006
Last updated
09/11/2023
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