Individual
AUSTIN JAMES MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 15TH AVE. W., CRAVEN HAGAN CLINIC, WILLISTON, ND 58801-3821
(701) 572-7651
(352) 265-1107
Mailing address
1301 15TH AVE. W., MERCY MEDICAL CENTER, WILLISTON, ND 58801-3821
(701) 774-7400
(701) 774-7479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12406
ND
207R00000X
Internal Medicine Physician
TRN13792
FL
Other
Enumeration date
05/29/2009
Last updated
09/12/2012
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