National Provider Identifier
Wyatt Clifton Deloney Snellgrove, D.O.
Wyatt Clifton Deloney Snellgrove, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Painted Post, NY and a listed phone number of (251) 504-1218.
Profile Overview
- NPI
- 1518312818
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 25, 2016
- Last Updated
- May 04, 2019
Practice Location
- 12 Pondview
- Suite 101
- Painted Post, NY 14870-9117
Phone: (251) 504-1218
Mailing Address
- 571 Saint Josephs Blvd
- Fl 2
- Elmira, NY 14901-3230
Specialties
- Internal Medicine Physician (207R00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1518312818
- Entity Type
- Individual
- Last Name
- Snellgrove
- First Name
- Wyatt Clifton
- Middle Name
- Deloney
- Credential
- D.O.
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 12 Pondview
- Practice Address Line 2
- Suite 101
- Practice City
- Painted Post
- Practice State
- NY
- Practice ZIP Code
- 14870-9117
- Practice Country
- US
- Practice Phone
- (251) 504-1218
- Enumeration Date
- April 25, 2016
- Last Updated
- May 04, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)