Haycock Foot And Ankle Center, LLC
Podiatrist, Foot & Ankle Surgery in Lima, OH. Organization (NPI-2).
NPI number1952425498
StatusActive
Last updated in NPPESJan 24, 2013
Details
- NPI
- 1952425498
- Entity type
- Organization (NPI-2)
- Legal business name
- Haycock Foot And Ankle Center, LLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Jan 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 36002946 | OH | Yes |
Other names
- Haycock Foot And Ankle Center, LLC (Former Legal Business Name)
Practice location
2311 Baton RougeLima, OH 45805-1129
Phone 419-228-3338 · Fax 419-228-3334
Mailing address
2311 Baton RougeLima, OH 45805-1129
Phone 419-228-3338 · Fax 419-228-3334
Authorized official
Darryl Mitchell Haycock
Doctor
4192283338
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