Individual
MRS. DIANA HORNUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
745 RUSSELL ST., CRAIG, CO 81625-2019
(970) 824-8233
(970) 824-2548
Mailing address
745 RUSSELL ST., CRAIG, CO 81625-2019
(970) 824-8233
(970) 824-2548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42145
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56434375
—
CO
Enumeration date
12/20/2005
Last updated
01/04/2012
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