| Doctor Name: | MARCIA MARIE SNODGRASS |
| NPI Number: | 1184617011 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 45402 |
| Business Practice Address: | 2200 Summerlon Cir Suite A Dodge City, KS - 678012900 |
| Business Phone Number: | 6204089700 |
| Business Fax Number: | 6204089701 |
| Mailing Address: | 20854 Sw 213 Rd, JETMORE |
| State: | KS |
| Postal Code: | 678545358 |
| Phone Number: | 6203576428 |
| Fax Number: | 6204089701 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 45402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |