Provider Demographics
NPI:1538175476
Name:SNYDER, ROBERT J (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:SNYDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34709 9TH AVE S STE B500
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6789
Mailing Address - Country:US
Mailing Address - Phone:253-835-8800
Mailing Address - Fax:
Practice Address - Street 1:34709 9TH AVE S
Practice Address - Street 2:STE B-500
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6789
Practice Address - Country:US
Practice Address - Phone:253-944-6950
Practice Address - Fax:253-661-8603
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00030141207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0192482OtherSTATE L&I
WA1044614Medicaid
WA160045314OtherMEDICARE RAILROAD
WA8935077OtherSTATE CRIME VICTIMS
WA0126706OtherSTATE L&I
WA160043862OtherMEDICARE RAILROAD
WA0192482OtherSTATE L&I
WAC97620Medicare UPIN
WAAB08501Medicare ID - Type Unspecified
WA160043862OtherMEDICARE RAILROAD