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1538342035
DAVID GARY MADDUX
TULSA, OK
NPI
1538342035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OK 1760)
Enumeration Date
2007-12-07
Last Update Date
2012-10-22
Business Address
-- DAVID GARY MADDUX PA-C
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-1805
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Mailing Address
-- DAVID GARY MADDUX PA-C
PO BOX 975471
DALLAS, TX 75397-5471
Phone number: 918-488-6001
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