Individual
PHARES BRIGGS HORMAN
Active
Individual
PHARES BRIGGS HORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-727
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010152186
BLUE SHIELD GROUP NUMBER
ID
01
—
000010152190
BLUE SHIELD INDIV. NUMBER
ID
01
—
8M467
BLUE CROSS GROUP NUMBER
ID
01
—
TD207
BLUE CROSS INDIVIDUAL #
ID
Enumeration date
11/09/2006
Last updated
05/06/2025
Update your record
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