Healthcare Provider Details
I. General information
NPI: 1316045214
Provider Name (Legal Business Name): CYNTHIA K SNYDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/21/2006
Last Update Date: 05/15/2021
Certification Date: 05/15/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5555 E ARAPAHOE RD
CENTENNIAL CO
80122-2312
US
IV. Provider business mailing address
10350 E DAKOTA AVE
DENVER CO
80247-1314
US
V. Phone/Fax
- Phone: 303-338-4545
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | 20030496 |
| License Number State | NM |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 45012 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: