Individual
ANTHONY KYLE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3201
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4835
OK
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/16/2020
Last updated
10/21/2022
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