Individual
BARBARA T. MADDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, DOM
Contact information
Practice address
5700 HARPER DR NE STE 470, ALBUQUERQUE, NM 87109-3585
(505) 828-9642
Mailing address
8747 EAGLE SPRINGS DR NE, ALBUQUERQUE, NM 87113-1258
(505) 292-0903
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
613RX2
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM01RD7K
BCBS PROVIDER NUMBER
NM
Enumeration date
03/29/2007
Last updated
07/08/2007
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