Individual
DR. PHILIP HENRY HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1031 MORGANTOWN AVE, FAIRMONT, WV 26554-4355
(304) 333-8840
(304) 333-8850
Mailing address
1031 MORGANTOWN AVE, FAIRMONT, WV 26554-4355
(304) 333-8840
(304) 333-8850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13530
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057187000
—
WV
01
—
080184665
RAILROAD MEDICARE
WV
01
—
4390268
AETNA
WV
01
—
836888
OPTIMUM CHOICE
WV
01
—
880735
MAMSI
WV
01
—
W44306
MOUNTAIN STATE BLUE CROSS
WA
01
—
WV13530C
HEALTH PLAN
WV
Enumeration date
07/19/2005
Last updated
04/06/2022
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