Organization
ROBERT M. MCCOY, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MATHEW MCCOY M.D. (OWNER)
(304) 367-7384
Entity
Organization
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 367-7384
Mailing address
6 BRIARWOOD TER, FAIRMONT, WV 26554-1208
(304) 367-7384
(304) 367-7239
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001707115
BCBS
WV
05
—
3810011063
—
WV
01
—
DG4811
RAILROAD MEDICARE
—
Enumeration date
04/13/2007
Last updated
06/03/2008
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