Individual
RONALD MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1390 COMMONS DR, SACRAMENTO, CA 95825-6656
(916) 646-4168
Mailing address
1390 COMMONS DR, SACRAMENTO, CA 95825-6656
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G79334
CA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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