Individual provider · Type 1 NPI

Eron Lee Maddox

Specialist · Hayward, CA

NPI number 1194312983 Active

Practice location

1061 A St
Hayward, CA 94541-4105

Call (510) 942-5653 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1194312983

Eron Lee Maddox's National Provider Identifier is 1194312983, issued on Dec 28, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hayward, CA. The record was last updated on Feb 24, 2021.