Healthcare Provider Details

I. General information

NPI: 1821015991
Provider Name (Legal Business Name): MICHAEL A SNYDER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY SUITE 400
DENVER CO
80220-4020
US

IV. Provider business mailing address

3464 S WILLOW ST SUITE 364
DENVER CO
80231-4531
US

V. Phone/Fax

Practice location:
  • Phone: 303-280-0900
  • Fax:
Mailing address:
  • Phone: 303-755-2900
  • Fax: 303-755-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL A SNYDER
Title or Position: PRESIDENT
Credential: MD
Phone: 303-280-0900