MEDICARE: MR. GEORGE BAIRD SNYDER JR. L..P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	2003030739	MO

General Provider Information

NPI Number	:	1134294010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GEORGE BAIRD SNYDER JR. L..P.C.

Provider Business Mailing Address
First Line	:	336 LAKESHORE DR E
Second Line	:
City	:	LAKE QUIVIRA
State	:	KS
Zip	:	66217-8773
Country	:	US
Telephone Number	:	913-268-3597
Fax Number	:	913-268-3597

Provider Business Practice Location Address
First Line	:	5354 LONGVIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64137-2731
Country	:	US
Telephone Number	:	816-767-8762
Fax Number	:	816-767-8764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2006
Last Update Date	:	07/08/2007

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