| Doctor Name: | DR. SANDRA A VAN HORN |
| NPI Number: | 1659608784 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MD15775 |
| Business Practice Address: | 301 Andrews Ave Lyster Army Health Clinic Fort Rucker, AL - 363625333 |
| Business Phone Number: | 3342559620 |
| Business Fax Number: | |
| Mailing Address: | 301 Andrews Ave, Lyster Army Health Clinic FORT RUCKER |
| State: | AL |
| Postal Code: | 363625333 |
| Phone Number: | 3342557000 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2009 |
| NPI Last Update Date: | 06/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD15775 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |