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NPI Code Detail

MEDICARE: RICHARD ROLAND SNURE M.D.

MEDICARE: RICHARD ROLAND SNURE 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
1208600000XSurgery PhysicianMD2004-0779NM
2208600000XSurgery Physician31912AZ

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 : 1285615070
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ROLAND SNURE M.D.
Provider Business Mailing Address
First Line : 101 COLE AVE
Second Line :
City : BISBEE
State : AZ
Zip : 85603-1327
Country : US
Telephone Number : 520-432-6484
Fax Number :
Provider Business Practice Location Address
First Line : 101 COLE AVE
Second Line :
City : BISBEE
State : AZ
Zip : 85603-1327
Country : US
Telephone Number : 520-432-6484
Fax Number : 520-432-6484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 07/19/2021

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Directions to “ RICHARD ROLAND SNURE M.D.” Practice Location

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