Provider Information for 1760847214
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Dr. HERNDON ADAM SNIDER PhD
Sex: Male
NPI: 1760847214
Last Updated: 2015-12-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1760847214 | ||||||||
| Enumeration Date | 2015-12-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2650 E 32ND ST SUITE 221 JOPLIN, MO 64804-4313 United States Phone: 417-623-1381 | Fax:417-623-0457 | ||||||||
| Primary Practice Address | 2650 E 32ND ST SUITE 221 JOPLIN, MO 64804-4313 United States Phone: 417-623-1381 | Fax:417-623-0457 | ||||||||
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