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NPI Code Detail

MEDICARE: JONATHAN REICH SNYDER M.D.

MEDICARE: JONATHAN REICH SNYDER 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
1207X00000XOrthopaedic Surgery Physician2009-00264NC

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 : 1225205818
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN REICH SNYDER M.D.
Provider Business Mailing Address
First Line : 400 JOHNSON RIDGE MEDICAL PARK
Second Line :
City : ELKIN
State : NC
Zip : 28621-2447
Country : US
Telephone Number : 336-526-4500
Fax Number :
Provider Business Practice Location Address
First Line : 400 JOHNSON RIDGE MEDICAL PARK
Second Line :
City : ELKIN
State : NC
Zip : 28621-2447
Country : US
Telephone Number : 336-526-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2008
Last Update Date : 03/01/2012

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