Individual
CHANCE PATRICK MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1297
(304) 388-5432
Mailing address
2673 DAVISSON RUN RD STE 303, CLARKSBURG, WV 26301-6838
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
86585
WV
Other
Enumeration date
12/11/2018
Last updated
07/24/2023
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