Organization
MADDELA MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J EDWARD BERNARDO MADDELA M.D. (PRESIDENT/CEO/INCORPORATOR)
(707) 319-9790
Entity
Organization
Contact information
Practice address
525 N MILLER RD, 206, SCOTTSDALE, AZ 85257-4655
(480) 809-6328
Mailing address
525 N MILLER RD, 206, SCOTTSDALE, AZ 85257-4655
(480) 809-6328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/12/2010
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