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Individual

BRIAN N. MADDUX

Active
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Individual

BRIAN N. MADDUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-072754
OH
2084N0400X
Neurology Physician
41984
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000510678
ANTHEM
OH
05
200203700
IN
05
2022715
OH
01
221373
UNISON
OH
01
2442321
AETNA
OH
05
7100057870
KY
01
P01213793
RR MEDICARE
KY
Enumeration date
07/17/2006
Last updated
11/15/2024
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