Healthcare Provider Details

I. General information

NPI: 1285894618
Provider Name (Legal Business Name): STEVEN B SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 07/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 JACKSON HIGHWAY SUITE 104
SHEFFIELD AL
35660
US

IV. Provider business mailing address

1120 JACKSON HIGHWAY SUITE 104
SHEFFIELD AL
35660
US

V. Phone/Fax

Practice location:
  • Phone: 256-386-0855
  • Fax: 256-386-0137
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number29982
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: