Provider Demographics
NPI:1174968135
Name:HOWERTER, STEPHANIE SNYDER (DO)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SNYDER
Last Name:HOWERTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:LYNN
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:312 FAIRY STREET EXT
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1912
Mailing Address - Country:US
Mailing Address - Phone:276-632-6496
Mailing Address - Fax:276-632-6701
Practice Address - Street 1:312 FAIRY STREET EXT
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112
Practice Address - Country:US
Practice Address - Phone:276-632-6496
Practice Address - Fax:276-632-6701
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102205691207NS0135X
NC2019-01692207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology