Individual
ROGER CLINTON HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4083 N SHILOH DR STE 9, FAYETTEVILLE, AR 72703-5201
(479) 439-1696
(479) 439-1998
Mailing address
4083 N SHILOH DR STE 9, FAYETTEVILLE, AR 72703-5201
(479) 439-1696
(479) 439-1998
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E-6094
AR
2084N0400X
Neurology Physician
M8819
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178868001
—
AR
Enumeration date
06/12/2006
Last updated
07/12/2023
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