person
Dr. Ira Lawrence Snider, DO
General Practice Physician in Phoenix, Arizona
NPI 1992039093

Ira Lawrence Snider is a General Practice Physician based in Chandler, AZ. Ira Lawrence Snider practices in Phoenix, AZ and has the professional credentials of DO. The NPI Number for Ira Lawrence Snider is 1992039093 and holds a License No. 4745 (Arizona).

The current practice location address for Ira Lawrence Snider is 4222 N 12Th St Ste 102, Phoenix, AZ and can be reached out via phone at 602-265-4357 and via fax at 602-604-9352.

Location: 4222 N 12Th St Ste 102, Phoenix, AZ, 85224-5901
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Provider Profile Details
NPI Number
1992039093
Provider Name
Ira Lawrence Snider
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4222 N 12Th St Ste 102, Phoenix, AZ, 85224-5901
Phone Number
602-265-4357
Fax Number
602-604-9352
Provider Enumeration Date
09/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
711680 05 AZ
institution
Provider Business Practice Location Address Details
Address
4222 N 12Th St Ste 102
City
State
Zip
85014-6023
Phone Number
602-265-4357
Fax Number
602-604-9352
person
Provider Business Mailing Address Details
Address
4222 N 12Th St Ste 102
City
State
Zip
85014-6023
Phone Number
602-265-4357
Fax Number
602-604-9352
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4745 (Arizona)
Definition
Definition to come...
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