Healthcare Provider Details

I. General information

NPI: 1891732004
Provider Name (Legal Business Name): JEFFREY G SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8890 N UNION BLVD STE 170
COLORADO SPRINGS CO
80920-2701
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-364-5005
  • Fax: 719-365-9911
Mailing address:
  • Phone: 970-624-4127
  • Fax: 970-490-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0041923
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME154314
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: