| Doctor Name: | DR. STEPHEN WILLIAM MADDOCK |
| NPI Number: | 1821060328 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., PH.D. |
| License Number: | 01057012A |
| Business Practice Address: | 70 E Windsor Blvd Windsor, VA - 234879443 |
| Business Phone Number: | 7572429191 |
| Business Fax Number: | |
| Mailing Address: | 70 E Windsor Blvd, WINDSOR |
| State: | VA |
| Postal Code: | 234879443 |
| Phone Number: | 7572429191 |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 06/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01057012A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |