Individual
DARRELL RAY MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5600 NW 82ND ST, OKLAHOMA CITY, OK 73132-4906
(405) 470-1329
Mailing address
5600 N.W. 82 STREET, OKLAHOMA CITY, OK 73132
(405) 470-1329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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