Individual
DR. JESSICA MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N 1ST ST, DRIGGS, ID 83422-5219
(204) 435-8846
(208) 918-8628
Mailing address
PO BOX 760, DRIGGS, ID 83422-0760
(208) 435-8846
(208) 918-8628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M-14388
ID
Other
Enumeration date
04/02/2015
Last updated
03/31/2026
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