Search › Idaho › 207QS0010X
Justin Mccoy, DO
NPI 1265792238 · on the registry since 2012
Practice
- Address
- 777 N Raymond St
Boise, ID 83704 - Phone
- (208) 514-2500
- Fax
- (208) 375-2217
- Organisation at this address
- Family Practice Medical
Full Circle Health, Inc.
Family Practice Residency Of Idaho, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 155
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207Q00000X
- Licence states on file
- ID, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho