MEDICARE: DAVID L SNYDER DIPL. O.M., C. HT.

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	171100000X	Acupuncturist	AC10917	CA

General Provider Information

NPI Number	:	1144350174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L SNYDER DIPL. O.M., C. HT.

Provider Business Mailing Address
First Line	:	312 S CEDROS AVE
Second Line	:	STE 326
City	:	SOLANA BEACH
State	:	CA
Zip	:	92075-1979
Country	:	US
Telephone Number	:	858-481-1438
Fax Number	:	858-481-1738

Provider Business Practice Location Address
First Line	:	312 S CEDROS AVE
Second Line	:	STE 326
City	:	SOLANA BEACH
State	:	CA
Zip	:	92075-1979
Country	:	US
Telephone Number	:	858-481-1438
Fax Number	:	858-481-1738

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

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