Provider Demographics
NPI:1760428866
Name:SNIDER, STUART ROSS (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:ROSS
Last Name:SNIDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5880 N LACHOLLA
Mailing Address - Street 2:SUITE 120
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741
Mailing Address - Country:US
Mailing Address - Phone:520-297-7733
Mailing Address - Fax:520-547-0461
Practice Address - Street 1:5880 N LACHOLLA
Practice Address - Street 2:SUITE 120
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741
Practice Address - Country:US
Practice Address - Phone:520-297-7733
Practice Address - Fax:520-547-0461
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ131372084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D00340Medicare UPIN