Katie Diane Maddock is a Student in an Organized Health Care Education/Training Program based in Pocatello, ID. Katie Diane Maddock practices in Pocatello, ID. The NPI Number for Katie Diane Maddock is 1275261059 and holds a License No. (Idaho).
The current practice location address for Katie Diane Maddock is 921 S 8Th Ave Stop 8253, Pocatello, ID and can be reached out via phone at 208-282-4726.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002896036 | 05 | ID |
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