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Individual

JOHN C MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9580 WATSON RD STE A, SAINT LOUIS, MO 63126-1539
(314) 965-5437
(314) 965-5439
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 965-5437
(314) 965-5439

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
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