Healthcare Provider Details

I. General information

NPI: 1588654313
Provider Name (Legal Business Name): THOMAS ARTHUR SNEAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BOONE RD
BREMERTON WA
98312-1894
US

IV. Provider business mailing address

1 BOONE RD
BREMERTON WA
98312-1894
US

V. Phone/Fax

Practice location:
  • Phone: 360-475-4426
  • Fax: 360-475-4344
Mailing address:
  • Phone: 360-475-4426
  • Fax: 360-475-4344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberMD00026762
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: