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Theron Mock, M. D
NPI 1932319894 · on the registry since 2007 · sole proprietor
Practice
- Address
- 465 Gypsy Ln
Apt 312
Youngstown, OH 44504 - Phone
- (330) 746-5111
- Fax
- (330) 746-5111
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio