Dale Robert Maddox M.D.

NPI 1033148663 - Family Medicine - 207Q00000X

NPI Details
NPI 1033148663
Gender Male
Enumeration Date 07/03/2006
Last Updated 09/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
503 MCMILLAN RD
WEST MONROE LA, 71291-5327, US
Phone (318) 329-4744
Fax
Business Location
87 SULLIVAN LOOP
RAYVILLE LA, 71269-7604, US
Phone (318) 728-5976
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number MD.08576R
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According to our database, Dale Robert Maddox M.D. NPI is 1033148663, taxonomy code is 207Q00000X and license number is MD.08576R, license state is located at Louisiana. Dale Robert Maddox M.D. physically located at 503 Mcmillan Rd, West Monroe LA, 71291-5327. NPI Number Dale Robert Maddox M.D. has the Individual type.

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1033148663 NPI number is provided on an as is basis without warranty of any kind. 1033148663 is maintained by the National Plan & Provider Enumeration System. The contents of Dale Robert Maddox M.D. are for informational purposes only.