Individual
JOHN A HORNBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8333 NORTH SILVERBELL, SUITE 161, TUCSON, AZ 85743-7371
(520) 232-5280
(520) 232-5299
Mailing address
1509 NW 63RD TER, KANSAS CITY, MO 64118-3093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005099
AZ
207Q00000X
Family Medicine Physician
94-06467
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361523
—
AZ
Enumeration date
03/22/2007
Last updated
11/06/2008
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