# HAYCOCK FOOT AND ANKLE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haycock Foot and Ankle Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952425498
- **Authorized official:** DR. DARRYL MITCHELL HAYCOCK D.P.M. (DOCTOR)
- **Authorized official phone:** (419) 228-3338

## Contact information

- **Practice address:** 2311 BATON ROUGE, LIMA, OH 45805-1129
- **Practice address phone:** (419) 228-3338
- **Practice address fax:** (419) 228-3334
- **Mailing address:** 2311 BATON ROUGE, LIMA, OH 45805-1129
- **Mailing address phone:** (419) 228-3338
- **Mailing address fax:** (419) 228-3334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36002946 | OH | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 01/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2094951 | — | OH |