Provider Demographics
NPI:1639478365
Name:HORZEMPA, DANIEL THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:THOMAS
Last Name:HORZEMPA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:707 N ALVERNON WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1827
Mailing Address - Country:US
Mailing Address - Phone:520-694-1611
Mailing Address - Fax:520-694-1640
Practice Address - Street 1:707 N ALVERNON WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1827
Practice Address - Country:US
Practice Address - Phone:520-694-1611
Practice Address - Fax:520-694-1640
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2015-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ49573207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine