Individual
DR. WILLIAM KEITH HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
708 E DEUCE OF CLUBS, SHOW LOW, AZ 85901-4926
(928) 537-2963
(928) 537-2965
Mailing address
708 E DEUCE OF CLUBS, SHOW LOW, AZ 85901-4926
(928) 537-2963
(928) 537-2965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4079
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1210403
AZ FOUNDATION
AZ
01
—
155186
AHCCCS
—
05
—
155186
—
AZ
01
—
AZ0231400
BCBS
AZ
Enumeration date
08/22/2005
Last updated
12/15/2008
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