Individual
DR. PHILIP A MADDOX
Active
Individual
DR. PHILIP A MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10489
AL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
10489
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008836
—
AL
01
—
0910168
UNITED HEALTHCARE
AL
01
—
200038943
RAILROAD MEDICARE
AL
01
—
4003597
AETNA
AL
01
—
51008836
BCBS
AL
Enumeration date
03/18/2006
Last updated
05/18/2010
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