Provider Demographics
NPI:1407998578
Name:CONTEMPORARY OB-GYN PC
Entity Type:Organization
Organization Name:CONTEMPORARY OB-GYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:SNIDLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-937-1545
Mailing Address - Street 1:PO BOX 320
Mailing Address - Street 2:1400 HWY 61, STE. 340
Mailing Address - City:CRYSTAL CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63019-0320
Mailing Address - Country:US
Mailing Address - Phone:636-937-1545
Mailing Address - Fax:636-937-8995
Practice Address - Street 1:1400 US HIGHWAY 61
Practice Address - Street 2:SUITE 340
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-4100
Practice Address - Country:US
Practice Address - Phone:636-937-1545
Practice Address - Fax:636-937-8995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPOO291664174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO502276900Medicaid
MO502276900Medicaid