Provider Demographics
NPI:1922278852
Name:SNEAD, THOMAS LEE II (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LEE
Last Name:SNEAD
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:332 CONGRESS PARK DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4133
Mailing Address - Country:US
Mailing Address - Phone:937-312-3627
Mailing Address - Fax:937-312-3654
Practice Address - Street 1:835 SWEITZER ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1007
Practice Address - Country:US
Practice Address - Phone:937-547-5757
Practice Address - Fax:937-547-5790
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301090897207Q00000X
OH35.092353207P00000X
IN01065803A207P00000X
WI52437-020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4263041Medicare PIN