Organization
MARK COCKLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK M COCKLEY MD (OWNER)
(419) 824-5063
Entity
Organization
Contact information
Practice address
1 TURTLE CREEK CIR, STE. F, SWANTON, OH 43558-8537
(419) 825-5151
(419) 825-5901
Mailing address
1 TURTLE CREEK CIR, STE. F, SWANTON, OH 43558-8537
(419) 825-5151
(419) 825-5901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
01/28/2010
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