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NPI Code Detail

MEDICARE: DR. DAVID STEPHEN SNODGRASS MD

MEDICARE: DR. DAVID STEPHEN SNODGRASS MD
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
1207Q00000XFamily Medicine Physician38131CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205834983
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID STEPHEN SNODGRASS MD
Provider Business Mailing Address
First Line : 2901 N CENTRAL AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2702
Country : US
Telephone Number : 970-820-5000
Fax Number : 970-820-5061
Provider Business Practice Location Address
First Line : 2923 GINNALA DR
Second Line :
City : LOVELAND
State : CO
Zip : 80538-2702
Country : US
Telephone Number : 970-820-5000
Fax Number : 970-820-5061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 02/20/2023

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Directions to “ DR. DAVID STEPHEN SNODGRASS MD” Practice Location

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