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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