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NPI Code Detail

MEDICARE: GARY R SNIDER MD

MEDICARE: GARY R SNIDER MD
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
1208200000XPlastic Surgery Physician27042CO

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 : 1972580199
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY R SNIDER MD
Provider Business Mailing Address
First Line : 1830 FRANKLIN ST
Second Line : STE 470
City : DENVER
State : CO
Zip : 80218-1128
Country : US
Telephone Number : 303-860-7900
Fax Number : 303-839-5367
Provider Business Practice Location Address
First Line : 1830 FRANKLIN ST
Second Line : STE 470
City : DENVER
State : CO
Zip : 80218-1128
Country : US
Telephone Number : 303-860-7900
Fax Number : 303-839-5367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 04/25/2013

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Directions to “ GARY R SNIDER MD” Practice Location

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