Individual
PHILLIP M HORNBOSTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 N RIVERSIDE RD STE 220, SAINT JOSEPH, MO 64507-2509
(816) 271-6155
Mailing address
802 N RIVERSIDE RD STE 220, SAINT JOSEPH, MO 64507-2509
(816) 271-6155
(660) 827-5510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R9A37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201412020
—
MO
Enumeration date
08/16/2005
Last updated
03/17/2018
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