Individual
MR. ALLEN HOUSTON HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4600 N DAVIS HWY, PENSACOLA, FL 32503-2337
(850) 494-0048
(850) 494-0065
Mailing address
4085 ALVAR DR, PENSACOLA, FL 32504-4404
(850) 433-8471
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2691902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304351700
—
FL
Enumeration date
04/26/2007
Last updated
09/03/2008
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