Bradley Horner CRNA

NPI 1205172921 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1205172921
Gender Male
Enumeration Date 12/28/2012
Last Updated 04/16/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
3000 32ND AVE S
FARGO ND, 58103-6132, US
Phone (701) 364-8000
Fax (701) 364-8078
Business Location
PO BOX 6001
FARGO ND, 58108-6001, US
Phone (701) 364-8000
Fax (701) 364-8078
Taxonomy Code 390200000X
License State
License Number
Remove 1205172921 NPI Number

According to our database, Bradley Horner CRNA NPI is 1205172921, taxonomy code is 390200000X Bradley Horner CRNA physically located at 3000 32nd Ave S, Fargo ND, 58103-6132. NPI Number Bradley Horner CRNA has the Individual type.

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1205172921 NPI number is provided on an as is basis without warranty of any kind. 1205172921 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Horner CRNA are for informational purposes only.