Healthcare Provider Details

I. General information

NPI: 1386809762
Provider Name (Legal Business Name): QUINN M SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 N 44TH ST
PHOENIX AZ
85018-6023
US

IV. Provider business mailing address

3601 N 44TH ST
PHOENIX AZ
85018-6023
US

V. Phone/Fax

Practice location:
  • Phone: 602-206-4980
  • Fax:
Mailing address:
  • Phone: 602-206-4980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMT191326
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number43265
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: