Individual
DR. CRAIG WILLIAM MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 FORT MISSOULA ROAD, SUITE 217, MISSOULA, MT 59804-7403
(406) 728-8170
(406) 728-9409
Mailing address
2825 FORT MISSOULA ROAD, SUITE 217, MISSOULA, MT 59804-7403
(406) 728-8170
(406) 728-9409
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4251
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011920
BCBS
MT
05
—
0042965
—
MT
01
—
81086208059804A003
TRICARE
—
Enumeration date
03/30/2006
Last updated
07/24/2009
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