Individual
AARON WISE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1355 N UNIVERSITY AVE STE 210, PROVO, UT 84604-2721
(801) 373-8930
Mailing address
1355 N UNIVERSITY AVE STE 210, PROVO, UT 84604-2721
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8414910-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2011
Last updated
04/21/2019
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