# PHIDO AUDIOLOGY AND HEARING AIDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417206582
- **Authorized official:** DR. STEPHEN EDWARD MOCK PH.D. (PARTNER)
- **Authorized official phone:** (717) 420-5381

## Contact information

- **Practice address:** 100 BUFORD AVE, SUITE E, GETTYSBURG, PA 17325-1132
- **Practice address phone:** (717) 420-5381
- **Practice address fax:** (717) 420-5384
- **Mailing address:** 100 BUFORD AVE, SUITE E, GETTYSBURG, PA 17325-1132
- **Mailing address phone:** (717) 420-5381
- **Mailing address fax:** (717) 420-5384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | AT000199L | PA | Yes |

## Other

- **Enumeration date:** 09/05/2012
- **Last updated:** 09/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11228513 | CAQH | — |
| 05 | — | 501274968 | — | PA |