Individual
MR. WILLIAM EUGENE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
405 W 4TH ST, SALEM, MO 65560-1212
(573) 729-3937
(573) 729-6298
Mailing address
405 W 4TH ST, SALEM, MO 65560-1212
(573) 729-3937
(573) 729-6298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02339
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310570502
—
MO
01
—
410011674
EDI
MO
Enumeration date
05/05/2006
Last updated
03/12/2012
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