David Joseph Snover, PA-C, ATC
Physician Assistant in Fruita, CO. Individual provider (NPI-1).
NPI number1982653770
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1982653770
- Entity type
- Individual (NPI-1)
- Name
- David Joseph Snover
- Credential
- PA-C, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2006
- Certification date
- Sep 11, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0003384 | CO | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | |
| 363AM0700X | Physician Assistant, Medical | 0110002352 | VA | |
| 363AS0400X | Physician Assistant, Surgical | PA.0003384 | CO |
Practice location
300 W Ottley AveFruita, CO 81521-2118
Phone 970-858-2705 · Fax 970-858-9961
Mailing address
Po Box 130Fruita, CO 81521-0130
Phone 970-858-2186 · Fax 970-858-2208
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