Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MADDUX, M.D.
ActiveJACOB MADDUX, M.D. is a Allergy & Immunology healthcare provider located in SURPRISE, Arizona. NPI 1760839211 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · SURPRISE, AZ
Registration Details
- NPI Number
- 1760839211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2016 (10.208116448836 yrs)
- Last Updated
- Jan 30, 2023
- Licenses
-
R75864 (AZ)55863 (AZ)
Practice Information
- Address
-
15331 W BELL RD STE 308310SURPRISE, AZ, 853744102Browse AZ providers · Browse ZIP 85374
- Phone
- 6028432991
- Fax
- 6029781226
- Primary Specialty
-
Allergy & Immunology
207K00000X
- Additional Specialty
- Allergy & Immunology
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.