Doctor Name: | CLAUD R SNOWDEN |
NPI Number: | 1235122466 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OD |
License Number: | 046006647 |
Business Practice Address: | 242 E Ferguson Ave Wood River, IL - 620952002 |
Business Phone Number: | 6182548463 |
Business Fax Number: | 6182544164 |
Mailing Address: | 242 E Ferguson Ave, WOOD RIVER |
State: | IL |
Postal Code: | 620952002 |
Phone Number: | 6182548463 |
Fax Number: | 6182544164 |
NPI Enumeration Date: | 08/23/2005 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 046006647 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |