Individual
THOMAS GERALD MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4620 J C NICHOLS PKWY, SUITE 405, KANSAS CITY, MO 64112-1617
(816) 960-0300
(816) 960-0446
Mailing address
4620 J C NICHOLS PKWY, SUITE 405, KANSAS CITY, MO 64112-1617
(816) 960-0300
(816) 960-0446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5F37
MO
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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