Individual
MR. RYAN R HORNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(801) 393-5355
(801) 394-4609
Mailing address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(801) 393-5355
(801) 394-4609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
49781041206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970030711
RAILROAD MEDICARE
—
01
—
QM0000060967
ALTIUS
—
Enumeration date
07/07/2005
Last updated
09/08/2021
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