Individual
DR. THOMAS JOHN MADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
(479) 587-5818
Mailing address
22374 W WAR EAGLE RD, SPRINGDALE, AR 72764-9462
(479) 756-6061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-1865
AR
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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