Individual
ANNA HEANEY STALCUP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
340 HULSE RD, PENSACOLA, FL 32508-1089
(850) 452-2257
Mailing address
4640 BESSINGER LN, PACE, FL 32571-1545
(850) 748-9131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4093
TX
Other
Enumeration date
01/13/2006
Last updated
07/08/2007
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