NPI 1053084244

Derron Horton

Practitioner Driver Toledo, OH

Practice location

Address: 725 Brighton Ave, Toledo, OH 43609-2935
Phone: (419) 277-8287

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence ST459718 (OH)

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Private Vehicle

Transportation Services Taxonomy 347C00000X Licence ST459718 (OH)

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Registry record

NPI: 1053084244
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2021
Record last updated: 26 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.