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Individual

DR. MICHAEL RAOUL COY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1000 S RAINBOW BLVD # B, LAS VEGAS, NV 89145-6231
(702) 255-4200
(702) 255-0260
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1226
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1226
STATE LICENSE
NV
05
1669407144
NV
01
P00932136
RAILROAD MEDICARE
NV
Enumeration date
07/12/2006
Last updated
10/17/2022
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