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Individual
MR. ROBERT GEORGE MCCOY
Active
Individual
MR. ROBERT GEORGE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1009
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4996016
WELLMARK
SD
05
—
7601720
—
SD
Enumeration date
01/08/2007
Last updated
05/03/2018
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