# MADDELA MEDICAL SERVICES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245545664
- **Authorized official:** J EDWARD BERNARDO MADDELA M.D. (PRESIDENT/CEO/INCORPORATOR)
- **Authorized official phone:** (707) 319-9790

## Contact information

- **Practice address:** 525 N MILLER RD, 206, SCOTTSDALE, AZ 85257-4655
- **Practice address phone:** (480) 809-6328
- **Mailing address:** 525 N MILLER RD, 206, SCOTTSDALE, AZ 85257-4655
- **Mailing address phone:** (480) 809-6328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2010
- **Last updated:** 08/12/2010