Healthcare Provider Details

I. General information

NPI: 1609941673
Provider Name (Legal Business Name): BRYANT D SNYDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 03/19/2023
Certification Date: 10/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8639 MAYLAND DR STE 105
RICHMOND VA
23294-4752
US

IV. Provider business mailing address

8639 MAYLAND DR STE 105
RICHMOND VA
23294-4752
US

V. Phone/Fax

Practice location:
  • Phone: 804-740-7105
  • Fax: 804-754-0309
Mailing address:
  • Phone: 804-740-7105
  • Fax: 804-754-0309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556041
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: