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1518905413
DAVID M MADDEN
POCATELLO, ID
NPI
1518905413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M5021)
Enumeration Date
2006-06-03
Last Update Date
2014-03-19
Business Address
-- DAVID M MADDEN M.D.
777 HOSPITAL WAY SUITE 215
POCATELLO, ID 83201-5162
Phone number: 208-239-2580
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Mailing Address
-- DAVID M MADDEN M.D.
PO BOX 4168
POCATELLO, ID 83205-4168
Phone number: 208-239-2580
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