| Dr Theron Clay Mock Jr, M D | |
|
465 Gypsy Ln, Apt 312, Youngstown, OH 44504-1361 | |
| (330) 746-5111 | |
| (330) 746-5111 |
| Full Name | Dr Theron Clay Mock Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 465 Gypsy Ln, Youngstown, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932319894 | NPI | - | NPPES |
| 0976412 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35-04-5230 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theron Clay Mock Jr, M D 465 Gypsy Ln, Apt 312, Youngstown, OH 44504-1361 Ph: (330) 746-5111 | Dr Theron Clay Mock Jr, M D 465 Gypsy Ln, Apt 312, Youngstown, OH 44504-1361 Ph: (330) 746-5111 |
Dr. Breanne Gillie, MD Surgery Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Michael R Sippel, MD Surgery Medicare: Medicare Enrolled Practice Location: 1001 Covington St, Youngstown, OH 44510 Phone: 330-480-2371 Fax: 330-480-3970 | |
Allison Mancuso, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave Dept Of, Youngstown, OH 44504 Phone: 330-480-3752 | |
Tyler Robert Tominello, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3124 | |
Dr. Louis Sozon Lyras, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7645 Market St Ste 200, Youngstown, OH 44512 Phone: 330-726-0156 Fax: 330-707-0618 | |
Dr. Heath A Dorion, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Covington St, Youngstown, OH 44510 Phone: 330-480-2371 Fax: 330-480-3970 | |
Michael Kavic, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 |