Individual
ROGER L MCCOY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4545 E CHANDLER BLVD, SUITE 104, PHOENIX, AZ 85048-7643
(480) 728-4400
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22472
AZ
207QS0010X
Sports Medicine (Family Medicine) Physician
22472
AZ
Other
Enumeration date
03/31/2006
Last updated
07/22/2015
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