Individual
DR. JEREMY ALEXANDER MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0006
(570) 271-6429
(570) 271-6854
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
D89638
MD
207Y00000X
Otolaryngology Physician
Primary
MD464947
PA
Other
Enumeration date
12/15/2008
Last updated
08/19/2020
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