Individual
SHERRIE K MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1870 J RD, FRUITA, CO 81521-9390
(970) 778-2474
Mailing address
1870 J RD, FRUITA, CO 81521-9390
(970) 778-2474
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41601360
—
CO
Enumeration date
04/23/2012
Last updated
08/22/2013
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