Individual
DAVID HORNICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
346 MAIN ST, OLEY, PA 19547-8712
(610) 987-9870
(610) 987-0029
Mailing address
346 MAIN ST, OLEY, PA 19547-8712
(610) 987-9870
(610) 987-0029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD422611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100901959
—
PA
Enumeration date
11/03/2005
Last updated
02/14/2011
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