Healthcare Provider Details

I. General information

NPI: 1649385477
Provider Name (Legal Business Name): STEVEN R SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 4TH ST SW SUITE CC
MASON CITY IA
50401-2800
US

IV. Provider business mailing address

621 S ILLINOIS AVE SUITE 103
MASON CITY IA
50401-5489
US

V. Phone/Fax

Practice location:
  • Phone: 641-422-6300
  • Fax: 641-422-6294
Mailing address:
  • Phone: 641-494-3041
  • Fax: 641-494-3059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number34748
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: