Mark Cockley, LLC

Organization Active NPI Internal Medicine Physician · Swanton, OH

NPI 1164551636 · NPPES record last updated Jan 28, 2010

Key facts

NPI
1164551636
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
MARK COCKLEY, LLC
Practice address
1 Turtle Creek Cir
Ste. F
Swanton, OH 43558-8537
Phone
(419) 825-5151
Fax
(419) 825-5901
NPI assigned
Mar 2, 2007
Organization subpart
No

Authorized official

Name
Dr. Mark M Cockley, MD
Title
Owner
Phone
(419) 824-5063

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

1 Turtle Creek Cir
Ste. F
Swanton, OH 43558-8537

Mailing address

1 Turtle Creek Cir
Ste. F
Swanton, OH 43558-8537
Phone (419) 825-5151

Other providers in Swanton, OH

All providers in Swanton, OH · Internal Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.