Individual
MITCHELL MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 SW 34TH ST, MOORE, OK 73160-3059
(405) 793-1188
(405) 793-0492
Mailing address
1401 SW 34TH ST, MOORE, OK 73160-3059
(405) 793-1188
(405) 793-0492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39530
OK
Other
Enumeration date
11/16/2020
Last updated
04/22/2025
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