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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275544454 NPPES
Idaho MEDICAID 3048900

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