Healthcare Provider Details

I. General information

NPI: 1497976591
Provider Name (Legal Business Name): ALLEN PERRY SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROUTE 10 BOX 10 ROUTE 119 SOUTH
GREENBURG PA
15601
US

IV. Provider business mailing address

3390 SAXONBURG BLVD SUITE 250
GLENSHAW PA
15116-3160
US

V. Phone/Fax

Practice location:
  • Phone: 724-837-8446
  • Fax: 724-837-8533
Mailing address:
  • Phone: 412-767-0555
  • Fax: 412-767-0892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD015724E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: