Individual
JOHN HORSTKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 BEVER GRADE, LAPWAI, ID 83540-8354
(208) 843-2271
Mailing address
1025 SW CRESTVIEW ST, PULLMAN, WA 99163-2015
(509) 334-5493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-16631
ID
207Q00000X
Family Medicine Physician
Primary
MD00034221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8436818
—
WA
Enumeration date
02/10/2006
Last updated
06/13/2022
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