Individual
DR. JANA B HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 S FREMONT AVE, SUITE 120, SPRINGFIELD, MO 65804-2206
(417) 820-2395
(417) 820-8155
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2006012203
MO
2085R0202X
Diagnostic Radiology Physician
M1769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256
BLUE
MO
01
—
161106001
AR MEDICAID
AR
05
—
200006104
—
MO
01
—
431560263
TRICARE WEST
MO
01
—
P00324864
RRR MEDICARE
MO
01
—
P00828638
RAILROAD MEDICARE
—
Enumeration date
06/01/2006
Last updated
05/21/2013
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