Most Relevant Information
Provider Data
| NPI Number: | 1003230152 |
| Provider Name: | PATRICK HARLAN MADDISON |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2014 |
| Last Updated: | 02/10/2014 |
Provider Practice Location
1690 MILWAUKEE
102
MISSOULA
MT
598013028
Practice Location Phone/Fax
| Phone: | 4065315450 |
| Fax: |
Provider Mailing Location
1690 MILWAUKEE
102
MISSOULA
MT
598013028
Provider Mailing Phone/Fax
| Phone: | 4065315450 |
| Fax: |