Individual
DERRRICK MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHT
Contact information
Practice address
924 N COUNTRY CLUB DR, BUILDING #1, MESA, AZ 85201-4108
(480) 969-3800
(480) 307-9771
Mailing address
924 N COUNTRY CLUB DR, BUILDING #1, MESA, AZ 85201-4108
(480) 969-3800
(480) 307-9771
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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