Healthcare Provider Details

I. General information

NPI: 1194090449
Provider Name (Legal Business Name): QUAY SNYDER M.D., MSPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 S MERIDIAN BLVD SUITE 125
ENGLEWOOD CO
80112-6038
US

IV. Provider business mailing address

9800 S MERIDIAN BLVD SUITE 125
ENGLEWOOD CO
80112-6038
US

V. Phone/Fax

Practice location:
  • Phone: 720-857-6117
  • Fax: 303-341-4803
Mailing address:
  • Phone: 720-857-6117
  • Fax: 303-341-4803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26968
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number26968
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number26968
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: