Individual
ROGER HORNE
Active
Individual
ROGER HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
077960
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
077960
WA
367500000X
Certified Registered Nurse Anesthetist
081045-23
NH
367500000X
Certified Registered Nurse Anesthetist
AP30008019
WA
Other
Enumeration date
12/28/2007
Last updated
07/15/2022
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