Individual
MR. BRUCE PHILLIP MCCOY
Active
Individual
MR. BRUCE PHILLIP MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24271
NC
207ND0900X
Dermatopathology Physician
24271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4431617002
CIGNA
NC
01
—
55821
BCBS
NC
01
—
7393398
AETNA
NC
05
—
8955821
—
NC
Enumeration date
01/08/2007
Last updated
07/16/2016
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