Individual
PAUL MICHAEL MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2300 53RD AVE STE 100, BETTENDORF, IA 52722-7565
(563) 322-0971
Mailing address
5250 COMPETITION DR STE 100, BETTENDORF, IA 52722-8837
(563) 322-0971
(563) 324-0615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002261
IA
363A00000X
Physician Assistant
085-004833
IL
363AS0400X
Surgical Physician Assistant
2011025935
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002261
STATE LICENSE
IA
Enumeration date
08/24/2011
Last updated
03/05/2026
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