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Organization
PHIDO AUDIOLOGY AND HEARING AIDS, LLC
Active
Organization
PHIDO AUDIOLOGY AND HEARING AIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN EDWARD MOCK PH.D. (PARTNER)
(717) 420-5381
Entity
Organization
Contact information
Practice address
100 BUFORD AVE, SUITE E, GETTYSBURG, PA 17325-1132
(717) 420-5381
(717) 420-5384
Mailing address
100 BUFORD AVE, SUITE E, GETTYSBURG, PA 17325-1132
(717) 420-5381
(717) 420-5384
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000199L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11228513
CAQH
—
05
—
501274968
—
PA
Enumeration date
09/05/2012
Last updated
09/05/2012
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