Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN L. MADDOX, MD
ActiveJOHN L. MADDOX, MD is a Dermatology healthcare provider located in GREENBRAE, California. NPI 1790837508 is currently active in the NPPES registry. Verify at CMS.
Dermatology · GREENBRAE, CA
Registration Details
- NPI Number
- 1790837508
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.594157831368 yrs)
- Last Updated
- Jul 1, 2015
- Licenses
-
G40606 (CA)G40606 (CA)G40606 (CA)
Practice Information
- Address
-
1300 S ELISEO DR STE 207GREENBRAE, CA, 949042015Browse CA providers · Browse ZIP 94904
- Phone
- 4159250550
- Fax
- 4159259062
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
Other Dermatology Providers in GREENBRAE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DIANA DEANGELIS PARNELL | M.D. | 1811926652 |
| DR. BENJAMIN JOSEPH NICHOLS | MD | 1790983237 |
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.