Jerome P Maddock, CRNA
NPI #1295888774 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1295888774
- Entity Type
- Individual
- Name
- Jerome P Maddock, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Jul 8, 2016
Practice Location
- Address
- 900 E BROADWAY AVENUE
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58501
- Phone
- (701) 530-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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