Individual
DR. JOSEPH MADDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, QUALITY SERVICES/7TH FLOOR ATTN: MCHE-ZQQ, JBSA FT SAM HOUSTON, TX 78234
(210) 916-0808
Mailing address
1835 FRANKLIN ST, DENVER, CO 80218-1126
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50473
CO
207P00000X
Emergency Medicine Physician
Primary
P7305
TX
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
P7305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022397
KAISER COMMERCIAL NUMBER
CO
05
—
326992014
—
TX
01
—
326992015
CSHCN
TX
05
—
95375511
—
CO
Enumeration date
06/09/2008
Last updated
09/17/2019
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