Individual
MR. JOHN LEGRAND HADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.C.O.
Contact information
Practice address
1450 S DOBSON RD, #A206, MESA, AZ 85202-4712
(480) 962-5841
(480) 649-9975
Mailing address
1450 S DOBSON RD, #A206, MESA, AZ 85202-4712
(480) 962-5841
(480) 649-9975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8115599
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034265001
—
AZ
Enumeration date
01/12/2007
Last updated
10/10/2011
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