Organization
PROSYRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY R HORNER D.O. (OWNER)
(573) 638-2012
Entity
Organization
Contact information
Practice address
1735 ELM CT, JEFFERSON CITY, MO 65101-4129
(573) 638-2012
(573) 761-4249
Mailing address
1735 ELM CT, JEFFERSON CITY, MO 65101-4129
(573) 638-2012
(573) 761-4249
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
36946
MO
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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