Organization
HAYCOCK FOOT AND ANKLE CENTER, LLC
Active
Other names
Haycock Foot and Ankle Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL MITCHELL HAYCOCK D.P.M. (DOCTOR)
(419) 228-3338
Entity
Organization
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
03/19/2007
Last updated
01/24/2013
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