DEREK LEE SNODGRASS

SPRINGFIELD, MO
NPI1699327023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2019026920)
Enumeration Date2019-07-16
Last Update Date2019-07-16
Business Address
DEREK LEE SNODGRASS
1000 E PRIMROSE ST STE 170
SPRINGFIELD, MO 65807-5192
Phone number: 417-269-2121
Mailing Address
DEREK LEE SNODGRASS
235 KINGS WAY DR
MARSHFIELD, MO 65706-8048
Phone number: 417-763-2192
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