Healthcare Provider Details

I. General information

NPI: 1033351556
Provider Name (Legal Business Name): MEREDITH LYNN SNOOK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 QUINN DR STE 120
PITTSBURGH PA
15275-1055
US

IV. Provider business mailing address

200 QUINN DR STE 120
PITTSBURGH PA
15275-1055
US

V. Phone/Fax

Practice location:
  • Phone: 412-847-1166
  • Fax: 412-847-1168
Mailing address:
  • Phone: 412-847-1166
  • Fax: 412-847-1168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD444531
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberPENDING
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: