Individual
JOHN C MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005026245
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000561731
ANTHEM BCBS
MO
01
—
2725138
CIGNA
MO
01
—
2868804
UHC
MO
01
—
342893
GHP
MO
01
—
906382
HEALTHLINK
MO
01
—
9310122
AETNA
MO
Enumeration date
01/31/2008
Last updated
10/26/2016
Update your record
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