Individual
EDGAR MYOUNG VANHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-2273
Mailing address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-2273
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
0101256963
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101256963
VA
Other
Enumeration date
03/18/2013
Last updated
10/22/2024
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