Provider Demographics
NPI:1861476517
Name:HORST, TRENTON FERRELL (DO)
Entity Type:Individual
Prefix:DR
First Name:TRENTON
Middle Name:FERRELL
Last Name:HORST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:330 S 5TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-5825
Mailing Address - Country:US
Mailing Address - Phone:580-249-3756
Mailing Address - Fax:580-249-3758
Practice Address - Street 1:330 S 5TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5825
Practice Address - Country:US
Practice Address - Phone:580-249-3756
Practice Address - Fax:580-249-3758
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2011-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK3765207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology