DR. CECIL E SNODGRASS M.D. NPI 1093780850

NPI Information

NPI: 1093780850
Provider Name: DR. CECIL E SNODGRASS, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3908 10TH ST SE
PUYALLUP, WA
ZIP 98374
Phone: (253) 848-5951
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DR. Cecil E Snodgrass, M.D. is a general practice in Puyallup, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Cecil E Snodgrass, M.D. NPI is 1093780850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3908 10TH ST SE
PUYALLUP, WA
ZIP 98374-188
Phone: (253) 848-5951
Fax: (253) 845-7073

The enumeration date for this NPI number is 2/22/2006 and was last updated on 11/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD00015382	WASHINGTON	No
2	208D00000X	General Practice		MD00015382	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	GAB36175	MEDICARE PIN	WASHINGTON
2	A08900	MEDICARE UPIN	WASHINGTON
3	1517101	MEDICAID	WASHINGTON
4	AB36176	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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