Richard C Coy DC

NPI 1053315663 - Chiropractor - 111N00000X

NPI Details
NPI 1053315663
Gender Male
Enumeration Date 06/10/2005
Last Updated 12/17/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
3407 S STATE ROUTE 157
STE 1
GLEN CARBON IL, 62034-1041, US
Phone (618) 288-3610
Fax (618) 288-9879
Business Location
3407 S STATE ROUTE 157
STE 1
GLEN CARBON IL, 62034-1041, US
Phone (618) 288-3610
Fax (618) 288-9879
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 005331
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According to our database, Dr. Richard C Coy DC NPI is 1053315663, taxonomy code is 111N00000X and license number is 005331, license state is located at Missouri. Richard C Coy DC physically located at 3407 S State Route 157, Glen Carbon IL, 62034-1041. NPI Number Richard C Coy DC has the Individual type.

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1053315663 NPI number is provided on an as is basis without warranty of any kind. 1053315663 is maintained by the National Plan & Provider Enumeration System. The contents of Richard C Coy DC are for informational purposes only.