Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 01058253A | IN |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD436779 | PA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD60143669 | WA |
N | 207YP0228X | Pediatric Otolaryngology | MD436779 | PA |
N | 207YP0228X | Pediatric Otolaryngology | MD60143669 | WA |
NPI | 1033377064 |
---|---|
Provider Name | David Louis Horn |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 07/06/2010 |