MEDICARE: DR. DANIEL W. HORNE III M.D.

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	208800000X	Urology Physician	21909	CO

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	:	1831182351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL W. HORNE III M.D.

Provider Business Mailing Address
First Line	:	3464 S. WILLOW ST
Second Line	:	SUITE 159
City	:	DENVER
State	:	CO
Zip	:	80231-4531
Country	:	US
Telephone Number	:	303-755-2900
Fax Number	:	303-745-7997

Provider Business Practice Location Address
First Line	:	3464 S. WILLOW ST
Second Line	:	SUITE 159
City	:	DENVER
State	:	CO
Zip	:	80231-4531
Country	:	US
Telephone Number	:	303-755-2900
Fax Number	:	303-745-7997

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	10/14/2020

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