Individual
LINDA S. BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
36 HAMPTON WAY, DOTHAN, AL 36305-6319
(334) 792-1239
Mailing address
36 HAMPTON WAY, DOTHAN, AL 36305-6319
(334) 792-1239
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-056985
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000073985
—
AL
Enumeration date
06/02/2006
Last updated
07/06/2009
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