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Justin Maddux
Optician in Logan, Ohio
NPI 1861199861

Justin Maddux is a Optician based in Logan, OH and is specialized in Optician. Justin Maddux practices in Logan, OH. The NPI Number for Justin Maddux is 1861199861 and holds a License No. OP.11156-S (Ohio).

The current practice location address for Justin Maddux is 12910 State Route 664 S, Logan, OH and can be reached out via phone at 740-380-1939.

Location: 12910 State Route 664 S, Logan, OH, 43138-8564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861199861
Provider Name
Justin Maddux
Credential
Provider Entity Type
Individual
Gender
Male
Address
12910 State Route 664 S, Logan, OH, 43138-8564
Phone Number
740-380-1939
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12910 State Route 664 S
City
Logan
State
Ohio
Zip
43138-8564
Phone Number
740-380-1939
Fax Number
person
Provider Business Mailing Address Details
Address
12910 State Route 664 S
City
Logan
State
Ohio
Zip
43138-8564
Phone Number
740-380-1939
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
OP.11156-S (Ohio)
Definition
Definition to come...
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