MEDICARE: DR. DANIEL Z. MADUFF D.C.

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	5903	CO

General Provider Information

NPI Number	:	1083798854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL Z. MADUFF D.C.

Provider Business Mailing Address
First Line	:	8754 W FLOYD DR
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-4732
Country	:	US
Telephone Number	:	720-384-5358
Fax Number	:

Provider Business Practice Location Address
First Line	:	1057 S WADSWORTH BLVD
Second Line	:	SUITE 40
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-4360
Country	:	US
Telephone Number	:	303-233-1236
Fax Number	:

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/08/2013

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