Individual
DR. IAN ELLIS MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2360 MCKEE RD STE 10, SAN JOSE, CA 95116
(408) 729-7128
Mailing address
2360 MCKEE RD STE 10, SAN JOSE, CA 95116-1618
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
141087
CA
390200000X
Student in an Organized Health Care Education/Training Program
256533
MA
Other
Enumeration date
06/08/2013
Last updated
01/25/2019
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