DR. Theron Clay Mock JR., M. D.

NPI #1932319894 in Youngstown, Ohio

Provider Information

NPI Number: 1932319894
Entity Type: Individual
Name: DR. Theron Clay Mock JR., M. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M. D.
Enumeration Date: May 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 465 GYPSY LN
Address 2: APT 312
City: Youngstown
State: Ohio
ZIP Code: 44504-1361
Phone: (330) 746-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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