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Organization
ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC
Active
Organization
ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY RAYMOND HORNER D.O. (OWNER/PHYSICIAN)
(573) 638-2012
Entity
Organization
Contact information
Practice address
1735 ELM COURT, JEFFERSON CITY, MO 65101-4129
(573) 638-2012
(573) 761-4249
Mailing address
1735 ELM COURT, JEFFERSON CITY, MO 65101-4129
(573) 638-2012
(573) 761-4249
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
0340248-22
MO
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
36946
MO
Other
Enumeration date
11/29/2007
Last updated
01/22/2015
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