Individual provider · NPI-1

Eric Richard Mccoy, IDMT

Military Health Care Provider, Independent Duty Medical Technicians · Langley Afb, VA

NPI number1265676985
StatusActive
Last updated in NPPESApr 24, 2009

Details

NPI
1265676985
Entity type
Individual (NPI-1)
Name
Mr. Eric Richard Mccoy
Credential
IDMT
Sex
Male
Sole proprietor
No
Enumeration date
Apr 24, 2009
Last updated
Apr 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

1st Medical Group
77 Nealy Avenue
Langley Afb, VA 23665-2040

Phone 757-764-2109

Mailing address

1st Medical Group
77 Nealy Avenue
Langley Afb, VA 23665-2040

Phone 757-764-2109

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Military Health Care Provider, Independent Duty Medical Technicians providers in Langley Afb, VA