Snow, Brent Walter
Snow, Brent Walter is an individual health care provider with primary practice located at 100 N Mario Capecchi Dr Ste. 2200, Salt Lake City UT 84113-1103. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Snow, Brent Walter can be contacted via phone (801) 662-5555.Contact Information
Primary practice address
100 N Mario Capecchi Dr Ste. 2200
Salt Lake City UT 84113-1103
Phone: (801) 662-5555
Fax: (801) 662-5547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 841716741205 | Utah |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 841716741205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 171674-1205 | Utah |
Profile Details
| NPI number | 1275544454 |
|---|---|
| LBN Legal business name | Snow, Brent Walter |
| Credentials | M.D., MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Nov 28th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275544454 | NPPES |
| Idaho | MEDICAID | 3048900 |
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