Healthcare Provider Details
I. General information
NPI: 1912968587
Provider Name (Legal Business Name): FELICIA E SNEAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/31/2006
Last Update Date: 10/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1020 BOWER HILL RD
PITTSBURGH PA
15243-1843
US
IV. Provider business mailing address
1020 BOWER HILL RD
PITTSBURGH PA
15243-1843
US
V. Phone/Fax
- Phone: 412-502-3920
- Fax: 412-502-3933
- Phone: 412-502-3920
- Fax: 412-502-3933
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | ME88374 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | MD448404 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: