Individual
DR. TRUETT LAYTON MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 624-4777
(575) 624-8711
Mailing address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 624-4777
(575) 624-8711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
91246
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM001X06
BCBS
NM
05
—
W3115
—
NM
Enumeration date
04/14/2006
Last updated
09/14/2020
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