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Individual

DR. STANLEY RAYMOND HORNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
D0-04935
IA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
36946
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
243153640
MO
Enumeration date
08/15/2006
Last updated
09/17/2025
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