Individual
DR. IRA LAWRENCE SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4222 N 12TH ST STE 102, PHOENIX, AZ 85014-6023
(602) 265-4357
(602) 604-9352
Mailing address
1343 N ALMA SCHOOL RD, STE 160, CHANDLER, AZ 85224-5901
(480) 963-1853
(480) 963-1854
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4745
AZ
208D00000X
General Practice Physician
L1417691
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711680
—
AZ
Enumeration date
09/23/2009
Last updated
03/22/2019
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