IndividualActive
John Maddox, M.D.
NPI 1104801208 · Colon & Rectal Surgery Physician · Tacoma, WA
Provider details
- NPI number
- 1104801208
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 133071 (CA)
Mailing address
1145 Broadway Ste 300
Tacoma, WA 98402-3523
Registry dates
- Enumerated
- 2005-12-12
- Last updated
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.