Individual
DR. DARRYL MITCHELL HAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2311 BATON ROUGE, LIMA, OH 45805-1129
(419) 228-3338
(419) 228-3334
Mailing address
2311 BATON ROUGE, LIMA, OH 45805-1129
(419) 228-3338
(419) 228-3334
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002946
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094951
—
OH
Enumeration date
05/12/2006
Last updated
01/24/2013
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