MEDICARE: GINGER SNYDER PA-C

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	363AM0700X	Medical Physician Assistant	8119155-1206	UT

General Provider Information

NPI Number	:	1407525371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINGER SNYDER PA-C

Provider Business Mailing Address
First Line	:	551 W 400 N
Second Line	:
City	:	BLANDING
State	:	UT
Zip	:	84511-4030
Country	:	US
Telephone Number	:	435-459-0686
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 W MEDICAL DR
Second Line	:
City	:	MONUMENT VALLEY
State	:	UT
Zip	:	84536-7705
Country	:	US
Telephone Number	:	435-727-3000
Fax Number	:	435-678-0707

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

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	11/22/2024

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Directions to “ GINGER SNYDER PA-C” Practice Location

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