Individual
BLAIR MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
5218 ESTES CIR, ARVADA, CO 80002-3370
(303) 502-4423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1662569
CO
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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