Individual
TIMOTHY C MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5900 E UNIVERSITY AVE STE 100, PLEASANT HILL, IA 50327-8467
(515) 643-2400
(515) 643-4766
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-2400
(515) 643-4766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03107
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192856
—
IA
Enumeration date
08/07/2006
Last updated
06/07/2024
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