DR. Adam Larry Maddocks, O.D.

NPI #1922478239 in Logan, Utah

Provider Information

NPI Number: 1922478239
Entity Type: Individual
Name: DR. Adam Larry Maddocks, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 29, 2015
Last Updated: Feb 25, 2019

Practice Location

Address: 1150 S 100 W
City: Logan
State: Utah
ZIP Code: 84321-5573
Phone: (435) 754-3459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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