| Damian T Horner Do Family Practice | |
|
10 Plumber St Warren PA 16365-1202 | |
| (814) 723-2779 | |
| Not Available |
| Full Name | Damian T Horner Do Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Plumber St, Warren, Pennsylvania |
| Authorized Official Name and Position | Damian T Horner (OWNER) |
| Authorized Official Contact | 8147232779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Damian T Horner Do Family Practice 10 Plumber St Warren PA 16365-1202 Ph: () - | Damian T Horner Do Family Practice 10 Plumber St Warren PA 16365-1202 Ph: (814) 723-2779 |
| NPI Number | 1154745255 |
|---|---|
| Provider Enumeration Date | 02/10/2014 |
| Last Update Date | 06/09/2020 |
| Medicare PECOS PAC ID | 9638302334 |
|---|---|
| Medicare Enrollment ID | O20140505000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154745255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS012479 (Pennsylvania) | Primary |
| Provider Name | Damian T Horner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114984853 PECOS PAC ID: 2668441494 Enrollment ID: I20040929000211 |
| Provider Name | Heather L California |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215657374 PECOS PAC ID: 8224414602 Enrollment ID: I20221008000400 |
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