Individual
IAN HAYCOCKS
Active
Individual
IAN HAYCOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10797
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502691
—
NV
05
—
1841220746
—
CA
05
—
200469350A
—
OK
05
—
7100475330
—
KY
01
—
P01168988
RR MEDICARE
NV
Enumeration date
07/04/2006
Last updated
09/10/2018
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