MR. Scott Michael Maddock, BSN, RN, CRNFA, CNOR

NPI #1306313218 in Fenton, Missouri

Provider Information

NPI Number: 1306313218
Entity Type: Individual
Name: MR. Scott Michael Maddock, BSN, RN, CRNFA, CNOR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: BSN, RN, CRNFA, CNOR
Enumeration Date: Oct 29, 2018
Last Updated: Oct 29, 2018

Practice Location

Address: 1040 WINTER LAKE DR
City: Fenton
State: Missouri
ZIP Code: 63026-8016
Phone: (314) 477-6927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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