Provider Demographics
NPI:1043427438
Name:SNIPES, SAMUEL T (MD,)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:T
Last Name:SNIPES
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:DR
Other - First Name:SAM
Other - Middle Name:T
Other - Last Name:SNIPES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4 ELLIOT WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3547
Mailing Address - Country:US
Mailing Address - Phone:603-669-9200
Mailing Address - Fax:603-624-2210
Practice Address - Street 1:4 ELLIOT WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3547
Practice Address - Country:US
Practice Address - Phone:603-669-9200
Practice Address - Fax:603-624-2210
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15735208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology