Individual
BART EDWARD HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101
(573) 632-5357
(573) 632-5841
Mailing address
6425 PALMETTO POINT, JEFFERSON CITY, MO 65109
(573) 893-2379
(573) 632-5841
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2003016597
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105534
HEALTH ALLIANCE
MO
01
—
110375
HEALTH LINK
MO
01
—
166636
BCBS
MO
05
—
237246265401
—
IL
01
—
P00127907
RAILROAD MEDICARE
MO
Enumeration date
04/10/2006
Last updated
07/08/2007
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