Individual
CARMEN P MADDOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1400 N GILBERT RD STE 1, GILBERT, AZ 85234-2328
(623) 977-2707
Mailing address
7558 W THUNDERBIRD RD STE 1-496, PEORIA, AZ 85381-6080
(623) 977-2707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4234
AZ
Other
Enumeration date
10/11/2011
Last updated
11/06/2012
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