Individual
JOHN W VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 COTTONWOOD LN, FERNLEY, NV 89408-9610
(775) 447-3079
Mailing address
PO BOX 504, FERNLEY, NV 89408-0504
(775) 433-4918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6295
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002007008
—
NV
Enumeration date
03/14/2006
Last updated
01/25/2022
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