Individual
MR. DENNIS MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1212 SEMINOLE ST, DERIDDER, LA 70634-2758
(337) 396-3851
Mailing address
1212 SEMINOLE ST, DERIDDER, LA 70634-2758
(337) 396-3851
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LT 2022
LA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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