Individual
DR. ELIZABETH B MADDOX
Active
Individual
DR. ELIZABETH B MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0059308
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568755007
—
CO
01
—
896005
MEDICARE
CO
01
—
896014
MEDICARE
CO
01
—
896025
MEDICARE
CO
01
—
896035
MEDICARE
CO
01
—
896036
MEDICARE
CO
Enumeration date
05/17/2011
Last updated
03/29/2024
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