Organization
DONALD L HORNEY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L HORNEY PH.D., M.D. (PRESIDENT)
(505) 870-0640
Entity
Organization
Contact information
Practice address
1332 S COUNTRY CLUB DR, GALLUP, NM 87301-5665
(505) 863-2134
(505) 863-8900
Mailing address
PO BOX 218, GALLUP, NM 87305-0218
(505) 870-0640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
91-222
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM009587
BCBS
NM
05
—
327909
—
AZ
05
—
E1393
—
NM
Enumeration date
07/21/2006
Last updated
08/22/2020
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