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NPI Code Detail

MEDICARE: DR. ROBERT SNITZER M.D.

MEDICARE: DR. ROBERT SNITZER M.D.
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
1207RI0011XInterventional Cardiology PhysicianR4N91MO
2207RC0000XCardiovascular Disease PhysicianR4N91MO

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 : 1225037252
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT SNITZER M.D.
Provider Business Mailing Address
First Line : 1520 WENTZVILLE PKWY
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-3408
Country : US
Telephone Number : 636-497-4055
Fax Number :
Provider Business Practice Location Address
First Line : 1520 WENTZVILLE PKWY
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-3408
Country : US
Telephone Number : 636-497-4055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 03/07/2022

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