Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00040852 | WA |
N | 207X00000X | Orthopaedic Surgeon | MD25533 | OR |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD00040852 | WA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD25533 | OR |
NPI | 1083710073 |
---|---|
Provider Name | Landon T Horne |
First Address | Spokane, WA 99220-3649 |
Second Address | Spokane, WA 99204-2823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 31/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8413395 | (05) | WA |
H40103 | (02) | WA |