Healthcare Provider Details

I. General information

NPI: 1306188339
Provider Name (Legal Business Name): ELIZABETH SNYDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 CANTERBURY DR STE 202
HAYS KS
67601-2375
US

IV. Provider business mailing address

2214 CANTERBURY DR STE 202
HAYS KS
67601-2375
US

V. Phone/Fax

Practice location:
  • Phone: 785-623-2312
  • Fax:
Mailing address:
  • Phone: 785-623-2312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0438883
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0438883
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: