Provider Demographics
NPI:1528201670
Name:HORWITZ, JUSTIN ADAM (DO)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:ADAM
Last Name:HORWITZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 S ALMA SCHOOL RD STE 210
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-2811
Mailing Address - Country:US
Mailing Address - Phone:480-256-4900
Mailing Address - Fax:
Practice Address - Street 1:1125 S ALMA SCHOOL RD STE 210
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-2811
Practice Address - Country:US
Practice Address - Phone:480-256-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-18
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02005343A207RG0100X
SCTL39099207RG0100X
AZ008589207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology