MEDICARE: DR. RANDY D HORN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	3946	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275648230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDY D HORN DO

Provider Business Mailing Address
First Line	:	8620 N 22ND AVE #200
Second Line	:	VHS CLINICS
City	:	PHOENIX
State	:	AZ
Zip	:	85021
Country	:	US
Telephone Number	:	602-674-6506
Fax Number	:	602-674-6512

Provider Business Practice Location Address
First Line	:	41810 N VENTURE DR
Second Line	:	BUILDING C-120
City	:	ANTHEM
State	:	AZ
Zip	:	85086-3169
Country	:	US
Telephone Number	:	623-551-2516
Fax Number	:	623-551-2475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	01/18/2026

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Directions to “ DR. RANDY D HORN DO” Practice Location

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