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Individual

ANDREW C MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
702 MOUNTAIN RANCH ROAD, SAN ANDREAS, CA 95249
(209) 754-0870
(209) 754-0870
Mailing address
PO BOX 636, SAN ANDREAS, CA 95249-0636
(209) 754-0870
(209) 754-4097

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
132342
CA

Other

Enumeration date
07/17/2007
Last updated
09/09/2014
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