Individual
JUSTIN RICHARD SNEDAKER
Active
Individual
JUSTIN RICHARD SNEDAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN589897
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992028088
—
UT
05
—
40929051
—
NM
05
—
634505
—
AZ
05
—
67406203
—
CO
01
—
NMAAA1458
MEDICARE PTAN
NM
Enumeration date
03/04/2010
Last updated
07/26/2016
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