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Individual

DR. JAMES ALAN MADDOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00034602
WA
207Q00000X
Family Medicine Physician
Primary
MD198698
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500781314
OR
Enumeration date
08/25/2006
Last updated
09/14/2020
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