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NPI Code Detail

MEDICARE: DR. KATHERINE ROSS SNYDER MD, MPH

MEDICARE: DR. KATHERINE ROSS SNYDER MD, MPH
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
1208000000XPediatrics PhysicianMD13323RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD13323OTHERRILICENSE

General Provider Information

NPI Number : 1922140797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE ROSS SNYDER MD, MPH
Provider Business Mailing Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2929 W 10TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80204-3363
Country : US
Telephone Number : 720-944-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 06/28/2013

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