Individual
MITCHELL BARRY HOROWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 632-3862
Mailing address
5126 BLACKSBURG RD, CATAWBA, VA 24070-2302
(540) 632-3862
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101259493
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200007090A
—
OK
01
—
800522235
MEDICARE GROUP#
OK
Enumeration date
07/12/2006
Last updated
10/14/2020
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