| Doctor Name: | SETH SNOWDEN |
| NPI Number: | 1295121622 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2015003910 |
| Business Practice Address: | 2200 E Cleveland St Monett, MO - 657086149 |
| Business Phone Number: | 4172362600 |
| Business Fax Number: | |
| Mailing Address: | 3800 S National Ave, Ste 540 SPRINGFIELD |
| State: | MO |
| Postal Code: | 658075209 |
| Phone Number: | 4172693000 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2015 |
| NPI Last Update Date: | 10/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2015003910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |