Individual
SAMUEL PETER HADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3000
Mailing address
1167 S 175 E, NEPHI, UT 84648-3014
(801) 380-4164
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7333366-4406
UT
367500000X
Certified Registered Nurse Anesthetist
CRNA000494
NV
367500000X
Certified Registered Nurse Anesthetist
CRNA1007
AZ
390200000X
Student in an Organized Health Care Education/Training Program
201140758RN
OR
Other
Enumeration date
01/11/2012
Last updated
05/30/2025
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