Individual
MR. SCOTT ANTHONY MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
4301 WILSON STREET, FORT SILL, OK 73503
(580) 558-2134
(580) 558-2314
Mailing address
4301 WILSON STREET, FORT SILL, OK 73503
(580) 558-2134
(580) 558-2314
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
742263
TX
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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