Individual
DR. ROBERT P MADDOX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1100 N STATE ROAD 135, SUITE BCD, GREENWOOD, IN 46142-1034
(317) 881-6013
(317) 881-1395
Mailing address
1100 N STATE ROAD 135, SUITE BCD, GREENWOOD, IN 46142-1034
(317) 881-6013
(317) 881-1395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000602A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198008
ANTHEM PROVIDER #
—
01
—
08000602
LICENSE #
—
01
—
6003957
USAA #
IN
01
—
606
WORK COMP #
—
Enumeration date
01/18/2007
Last updated
07/08/2007
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