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General NPI Number Information
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NPI Number | 1073609343
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Entity Type | Individual
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Provider Name | WILLIAM F STROCK MS CLINICAL AUDIOLOG
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 42 HAWTHORNE ST
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City | MEDFORD
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State | OR
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Zip | 97504
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Country | US
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Telephone | 541-776-3461
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Fax | 541-776-0482
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Provider Business Mailing Address
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Address Line | 2162 HAPPY VALLEY DR
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City | MEDFORD
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State | OR
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Zip | 97501
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Country | US
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Telephone | 541-779-7914
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Fax | 541-779-7914
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | OR20448
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License Number State | OR
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