Provider Demographics
NPI:1437456977
Name:DANIEL W. HORNE M.D., FACS
Entity Type:Organization
Organization Name:DANIEL W. HORNE M.D., FACS
Other - Org Name:SURGICAL ASSIST SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:303-755-2900
Mailing Address - Street 1:3464 S. WILLOW ST.
Mailing Address - Street 2:SUITE 159
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4531
Mailing Address - Country:US
Mailing Address - Phone:303-755-2900
Mailing Address - Fax:303-745-7997
Practice Address - Street 1:3464 S. WILLOW ST.
Practice Address - Street 2:SUITE 159
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4531
Practice Address - Country:US
Practice Address - Phone:303-755-2900
Practice Address - Fax:303-745-7997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO21909208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO21909OtherSTATE LICENSE