Healthcare Provider Details

I. General information

NPI: 1245237213
Provider Name (Legal Business Name): ROBERT W SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 TRUEMAN CT
HILLIARD OH
43026-2496
US

IV. Provider business mailing address

3855 TRUEMAN CT
HILLIARD OH
43026-2496
US

V. Phone/Fax

Practice location:
  • Phone: 614-777-1800
  • Fax: 614-777-1831
Mailing address:
  • Phone: 614-777-1800
  • Fax: 614-777-1831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35071385
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: