| Mark Cockley, Llc | |
|
1 Turtle Creek Cir Ste. F Swanton OH 43558-8537 | |
| (419) 825-5151 | |
| (419) 825-5901 |
| Full Name | Mark Cockley, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Turtle Creek Cir, Swanton, Ohio |
| Authorized Official Name and Position | Mark M Cockley (OWNER) |
| Authorized Official Contact | 4198245063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Cockley, Llc 1 Turtle Creek Cir Ste. F Swanton OH 43558-8537 Ph: (419) 825-5151 | Mark Cockley, Llc 1 Turtle Creek Cir Ste. F Swanton OH 43558-8537 Ph: (419) 825-5151 |
| NPI Number | 1164551636 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 01/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164551636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Oak Valley Primary Care Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Turtle Creek Cir, Suite E, Swanton, OH 43558 Phone: 419-825-2387 Fax: 419-825-3783 |