Provider Demographics
NPI:1306860770
Name:SNYDER, BRUCE EDMUND (MD)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:EDMUND
Last Name:SNYDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2290 DRIFTWOOD TIDE AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5803
Mailing Address - Country:US
Mailing Address - Phone:702-485-2020
Mailing Address - Fax:702-458-2050
Practice Address - Street 1:1800 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2329
Practice Address - Country:US
Practice Address - Phone:702-453-3799
Practice Address - Fax:702-453-5741
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2022-12-08
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Provider Licenses
StateLicense IDTaxonomies
NV11814207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCJ559ZMedicare PIN