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Individual

THOMAS EUGENE HORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
410 N MALACATE ST STE 100, AJO, AZ 85321-2254
(520) 387-5651
(520) 387-6036
Mailing address
410 N MALACATE ST STE 100, AJO, AZ 85321-2254
(520) 387-5651
(520) 387-6036

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51196
AZ
207Q00000X
Family Medicine Physician
MD00020253
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2025929
WA
05
8335606
WA
01
P01769824 - DV4997
RAILROAD MEDICARE
WA
Enumeration date
01/09/2007
Last updated
06/30/2023
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