Provider Demographics
NPI:1629233960
Name:SNELL, GEORGE FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FRANCIS
Last Name:SNELL
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 1:721 BROOKSHIRE HOLW
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1514
Mailing Address - Country:US
Mailing Address - Phone:801-593-8027
Mailing Address - Fax:
Practice Address - Street 1:721 BROOKSHIRE HOLW
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1514
Practice Address - Country:US
Practice Address - Phone:801-593-8027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT146772-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine