Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL WAYNE MADDOX, M.D.
Active Sole ProprietorMICHAEL WAYNE MADDOX, M.D. is a Psychiatric Neurology healthcare provider located in VALLECITO, California. NPI 1528104486 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · VALLECITO, CA
Registration Details
- NPI Number
- 1528104486
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2007 (19.513647878505 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G75593 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4141 RED HILL RDVALLECITO, CA, 95251Browse CA providers · Browse ZIP 95251
- Phone
- 9512122777
- Fax
- 7758546449
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.