Healthcare Provider Details

I. General information

NPI: 1902848633
Provider Name (Legal Business Name): ARTHUR SNYDER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 HILLRISE CIR
LAS CRUCES NM
88011-4741
US

IV. Provider business mailing address

1255 HILLRISE CIR
LAS CRUCES NM
88011-4741
US

V. Phone/Fax

Practice location:
  • Phone: 505-532-5934
  • Fax: 505-522-9047
Mailing address:
  • Phone: 505-532-5934
  • Fax: 505-522-9047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number94147
License Number StateNM

VIII. Authorized Official

Name: DR. ART R SNYDER
Title or Position: PRESIDENT
Credential: MD
Phone: 505-532-5934