Provider Demographics
NPI:1265494900
Name:SNITZ, ARNOLD IRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:IRA
Last Name:SNITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 EAST SEVENTH STREET
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204
Mailing Address - Country:US
Mailing Address - Phone:704-332-7141
Mailing Address - Fax:704-342-3324
Practice Address - Street 1:2620 EAST SEVENTH STREET
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-4381
Practice Address - Country:US
Practice Address - Phone:704-332-7141
Practice Address - Fax:704-342-3324
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22278208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8978356Medicaid
AS8095766OtherDEA
NC8978356Medicaid