Healthcare Provider Details

I. General information

NPI: 1265423032
Provider Name (Legal Business Name): JAMES D SNARRENBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 W BETHANY HOME RD
PHOENIX AZ
85015-2443
US

IV. Provider business mailing address

5441 E CHOLLA ST
SCOTTSDALE AZ
85254-4722
US

V. Phone/Fax

Practice location:
  • Phone: 602-249-0212
  • Fax:
Mailing address:
  • Phone: 480-948-1703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number10657
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: