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1699881250
RANDY MADDOX
BENTON, AR
NPI
1699881250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AR C8131)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- RANDY MADDOX M.D.
2909 MILITARY RD
BENTON, AR 72015-2721
Phone number: 501-315-6500
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Mailing Address
-- RANDY MADDOX M.D.
2909 MILITARY RD
BENTON, AR 72015-2721
Phone number: 501-315-6500
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