Provider Demographics
NPI:1447256870
Name:SNOW, RONALD LEE (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:LEE
Last Name:SNOW
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 1:1085 S BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5245
Mailing Address - Country:US
Mailing Address - Phone:435-688-2020
Mailing Address - Fax:435-634-2646
Practice Address - Street 1:1085 S BLUFF ST
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5245
Practice Address - Country:US
Practice Address - Phone:435-688-2020
Practice Address - Fax:435-634-2646
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT163590-1205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD07291Medicare UPIN
UT000000794Medicare ID - Type Unspecified