Individual
JACOB MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15331 W BELL RD STE 308310, SURPRISE, AZ 85374-4102
(602) 843-2991
(602) 978-1226
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
55863
AZ
207R00000X
Internal Medicine Physician
R75864
AZ
Other
Enumeration date
05/14/2016
Last updated
01/30/2023
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