Individual provider · Type 1 NPI
Ira Lawrence Snider, DO
General Practice Physician · Phoenix, AZ
NPI number
1992039093
Active
Practice location
4222 N 12th St Ste 102
Phoenix, AZ 85014-6023
Fax (602) 604-9352
Mailing address
1343 N Alma School Rd, Ste 160
Chandler, AZ 85224-5901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 4745 (AZ) |
| General Practice Physician | 208D00000X | L1417691 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1992039093
Ira Lawrence Snider, DO's National Provider Identifier is 1992039093, issued on Sep 23, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 22, 2019.