Basic Information
| Provider Information | |||||||||
| NPI: | 1841244241 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NEWHARD | ||||||||
| FirstName: | HORACE | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 ROWLAND WAY | ||||||||
| Address2: | 100 | ||||||||
| City: | NOVATO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 949455037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4158979664 | ||||||||
| FaxNumber: | 4158972446 | ||||||||
| Practice Location | |||||||||
| Address1: | 75 ROWLAND WAY | ||||||||
| Address2: | 100 | ||||||||
| City: | NOVATO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 949455037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4158979664 | ||||||||
| FaxNumber: | 4158972446 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2006 | ||||||||
| LastUpdateDate: | 08/23/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | C35133 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.