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Individual

ERIC PAUL HORNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2303 S HIGHWAY 65, MARSHALL, MO 65340-3734
(660) 886-3364
(660) 886-6044
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 556-5757

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2002029422
MO
363A00000X
Physician Assistant
Primary
2009004342
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
431560263
TRICARE WEST
MO
01
P00709667
RAILROAD MEDICARE
Enumeration date
06/01/2006
Last updated
02/06/2015
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