Individual
DR. DERON L HORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1134 N MAIN ST STE 1100, BELLEFONTAINE, OH 43311
(937) 651-6820
(937) 651-6822
Mailing address
1134 N MAIN ST STE 1100, BELLEFONTAINE, OH 43311-2379
(937) 651-6820
(937) 651-6822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35067435H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055430
—
OH
01
—
P00386660
RR MEDICARE
OH
Enumeration date
11/05/2005
Last updated
05/24/2018
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