Healthcare Provider Details

I. General information

NPI: 1952860736
Provider Name (Legal Business Name): WILLIAM PALMER SNYDER JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18051 RIVER RD STE 200
NOBLESVILLE IN
46062-7092
US

IV. Provider business mailing address

PO BOX 843022
KANSAS CITY MO
64184-3022
US

V. Phone/Fax

Practice location:
  • Phone: 317-773-0002
  • Fax: 317-776-6095
Mailing address:
  • Phone: 317-770-6900
  • Fax: 317-770-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02006889A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: