Individual
DAVID GARY MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1805
Mailing address
PO BOX 975471, DALLAS, TX 75397-5471
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1760
OK
Other
Enumeration date
12/07/2007
Last updated
10/22/2012
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