Healthcare Provider Details

I. General information

NPI: 1972595445
Provider Name (Legal Business Name): WILLIAM JOSEPH SNIDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 10/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 COURT ST
REDDING CA
96001-2530
US

IV. Provider business mailing address

PO BOX 992890
REDDING CA
96099-2890
US

V. Phone/Fax

Practice location:
  • Phone: 530-244-2663
  • Fax: 530-244-4309
Mailing address:
  • Phone: 530-244-2663
  • Fax: 530-244-4309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberC357690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: