Provider Demographics
NPI:1841244241
Name:NEWHARD, HORACE B (MD)
Entity Type:Individual
Prefix:DR
First Name:HORACE
Middle Name:B
Last Name:NEWHARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 ROWLAND WAY
Mailing Address - Street 2:100
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-5037
Mailing Address - Country:US
Mailing Address - Phone:415-897-9664
Mailing Address - Fax:415-897-2446
Practice Address - Street 1:75 ROWLAND WAY
Practice Address - Street 2:100
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5037
Practice Address - Country:US
Practice Address - Phone:415-897-9664
Practice Address - Fax:415-897-2446
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC35133207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA35850Medicare UPIN