Jean Maddox

NPI 1912155730 · on the registry since 2008

Practice

Address: 1220 S Alma School Rd Ste 109
Mesa, AZ 85210
Phone: (480) 464-3703
Fax: (480) 827-1551
Organisation at this address: Surestep
A Willows Grace
Cactus Flower Healing Llc
Revival Psychiatry And Ketamine Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-09-04

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 Arizona