Individual
HEATHER ELIZABETH STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4510 N PROGRESS AVE, HARRISBURG, PA 17110-3925
(717) 412-7622
Mailing address
4510 N PROGRESS AVE, HARRISBURG, PA 17110-3925
(717) 412-7622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD436659
PA
208M00000X
Hospitalist Physician
MD436659
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10237268
—
PA
01
—
1583951
GATEWAY
PA
01
—
2117412
HIGHMARK BLUE SHIELD
PA
01
—
415666
UPMC
PA
Enumeration date
08/27/2007
Last updated
10/02/2012
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