Shelby Maddox, MED

NPI #1205153822 in Elk City, Oklahoma

Provider Information

NPI Number
1205153822
Entity Type
Individual
Name
Shelby Maddox, MED
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
MED
Enumeration Date
Apr 21, 2010
Last Updated
Apr 21, 2010

Practice Location

Address
120 S MADISON AVE STE 24
ZIP Code
73644-5741
Phone
(580) 821-1855

Specialties & Taxonomy Codes

Specialty
Specialist

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