ANTHONY WADE HADDOCK

FLORENCE, AL
NPI1942486618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-098954)
Enumeration Date2008-01-12
Last Update Date2008-01-12
Business Address
Mr. ANTHONY WADE HADDOCK CRNA
205 MARENGO ST
FLORENCE, AL 35630-6033
Phone number: 256-768-9191
Mailing Address
Mr. ANTHONY WADE HADDOCK CRNA
PO BOX 10005
FLORENCE, AL 35631-2005
Phone number: 256-768-9191