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NPI Code Detail

MEDICARE: DR. JAMES WILLIAM SNYDER MD

MEDICARE: DR. JAMES WILLIAM SNYDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician6102NV

General Provider Information

NPI Number : 1861494379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES WILLIAM SNYDER MD
Provider Business Mailing Address
First Line : 2968 SOUTH EL CAMINO ROAD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146
Country : US
Telephone Number : 702-368-2820
Fax Number : 702-871-5912
Provider Business Practice Location Address
First Line : 6040 S FORT APACHE RD
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89148-5613
Country : US
Telephone Number : 702-696-7256
Fax Number : 702-796-7256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 03/31/2008

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