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Individual
MR. DAVIS H MADDUX
Active
Individual
MR. DAVIS H MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, RTR, RDMS,RVT
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
199483
SC
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
79645
SC
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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