| William B. Maddox Pa | |
|
910 S Rogers St Ste D Clarksville AR 72830-4331 | |
| (479) 335-5747 | |
| (479) 957-9083 |
| Full Name | William B. Maddox Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 910 S Rogers St Ste D, Clarksville, Arkansas |
| Authorized Official Name and Position | William Brad Maddox (PRESIDENT) |
| Authorized Official Contact | 4799705097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William B. Maddox Pa 910 S Rogers St Ste D Clarksville AR 72830-4331 Ph: (479) 335-5747 | William B. Maddox Pa 910 S Rogers St Ste D Clarksville AR 72830-4331 Ph: (479) 335-5747 |
| NPI Number | 1437802030 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437802030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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