Search › Idaho › 363A00000X
Chase Maddock, PA-C
NPI 1649670522 · on the registry since 2014 · sole proprietor
Practice
- Address
- 725 Pole Line Rd W
Twin Falls, ID 83301 - Phone
- (208) 814-1600
- Fax
- (208) 814-1910
- Organisation at this address
- St Lukes Regional Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Additional practice sites
- 775 Pole Line Rd W Ste 103, Twin Falls, ID
- 712 29th St, Ogden, UT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2255A2300X
363A00000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho