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Mr. Scott A Mccoy

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NPI Number Detailed Information

Provider Information:

Name: Mr. Scott A Mccoy
Gender: M
Provider License Number If Given: 250

NPI Information:

NPI: 1467455402
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 10/5/2011

Provider Business Mailing Address:

Address: 3050 N LITCHFIELD RD SUITE 100
Goodyear, AZ 85395
Phone Number: 6239355505
Fax Number: 6239355551

Provider Business Practice Location Address:

Address: 3050 N LITCHFIELD RD SUITE 100
Goodyear, AZ 85395
Phone Number: 6239355505
Fax Number: 6239355551

Provider Taxonomy:

Primary: 225XH1200X
Secondary (if any):
State: AZ

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