Individual
DR. LOUIS KEITH MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(515) 423-4448
Mailing address
2700 TRIMMIER RD, APT.5207, KILLEEN, TX 76542-6000
(515) 423-4448
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20858
OK
Other
Enumeration date
02/28/2007
Last updated
08/08/2019
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