Individual
RICHARD B MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
(907) 361-6028
(907) 361-4847
Mailing address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
(907) 361-6028
(907) 361-4847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1159
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761570A
—
OK
Enumeration date
08/02/2006
Last updated
11/05/2024
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