Healthcare Provider Details

I. General information

NPI: 1598400202
Provider Name (Legal Business Name): GARRETT DANIEL SNELL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2022
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 ROGERS AVE STE 502
FORT SMITH AR
72903-4041
US

IV. Provider business mailing address

7001 ROGERS AVE STE 502
FORT SMITH AR
72903-4041
US

V. Phone/Fax

Practice location:
  • Phone: 479-484-5901
  • Fax:
Mailing address:
  • Phone: 479-484-5901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberE-21012
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number8121
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: