Individual
DOUGLAS PENN HORNBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2695 ROCKY MOUNTAIN AVE STE 110, LOVELAND, CO 80538-9074
(970) 482-4373
Mailing address
2695 ROCKY MOUNTAIN AVE STE 110, LOVELAND, CO 80538-9074
(970) 482-4373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002158
CO
363AM0700X
Medical Physician Assistant
2158
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65356276
—
CO
Enumeration date
11/02/2006
Last updated
11/17/2020
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