DAVID GARY MADDUX

TULSA, OK
NPI1538342035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OK  1760)
Enumeration Date2007-12-07
Last Update Date2012-10-22
Business Address
-- DAVID GARY MADDUX PA-C
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-1805
Mailing Address
-- DAVID GARY MADDUX PA-C
PO BOX 975471
DALLAS, TX 75397-5471
Phone number: 918-488-6001