# STEPHEN MADDOCK MD PHD PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Analab Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750417937
- **Authorized official:** DR. STEPHEN W MADDOCK M.D. (PRESIDENT)
- **Authorized official phone:** (757) 242-9191

## Contact information

- **Practice address:** 70 E WINDSOR BLVD, STE G, WINDSOR, VA 23487-9443
- **Practice address phone:** (757) 242-9191
- **Practice address fax:** (757) 242-9922
- **Mailing address:** 70 E WINDSOR BLVD, STE G, WINDSOR, VA 23487-9443
- **Mailing address phone:** (757) 242-9191
- **Mailing address fax:** (757) 242-9922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2007
- **Last updated:** 05/29/2008