Individual
DR. RICKY MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2745 LINCOLN WAY, CLINTON, IA 52732-7201
(563) 242-3208
(563) 242-4051
Mailing address
2745 LINCOLN WAY, CLINTON, IA 52732-7201
(563) 242-3208
(563) 242-4051
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30595
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3125526
—
IA
Enumeration date
01/31/2006
Last updated
10/29/2007
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