MEDICARE: JUSTIN MADDUX DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC37343	CA

General Provider Information

NPI Number	:	1366333171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN MADDUX DC

Provider Business Mailing Address
First Line	:	5103 GILGUNN WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95822-2609
Country	:	US
Telephone Number	:	916-821-7046
Fax Number	:

Provider Business Practice Location Address
First Line	:	2906 DARWIN ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-4510
Country	:	US
Telephone Number	:	916-925-2225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	07/10/2025

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Directions to “ JUSTIN MADDUX DC” Practice Location

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