Individual
MR. MATTHEW SCOTT MCCOY
Active
Individual
MR. MATTHEW SCOTT MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0032319
DE
163W00000X
Registered Nurse
RN532609
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
L10032319
DE
367500000X
Certified Registered Nurse Anesthetist
L6-0A00483
DE
367H00000X
Anesthesiologist Assistant
L10032319
DE
Other
Enumeration date
06/27/2006
Last updated
12/11/2009
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