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NPI Code Detail

MEDICARE: AMBER MCCOY

MEDICARE:   AMBER  MCCOY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1639542954
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER MCCOY
Provider Business Mailing Address
First Line : 7901 S COUNCIL RD
Second Line : #246
City : OKLAHOMA CITY
State : OK
Zip : 73169-2411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7901 S COUNCIL RD
Second Line : #246
City : OKLAHOMA CITY
State : OK
Zip : 73169-2411
Country : US
Telephone Number : 405-606-9193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2015
Last Update Date : 11/09/2015

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Directions to “ AMBER MCCOY ” Practice Location

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