Deshantra Mccoy
NPI #1730620600 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1730620600
- Entity Type
- Individual
- Name
- Deshantra Mccoy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist - Prosthetics Case Management
- Enumeration Date
- Mar 13, 2017
- Last Updated
- Mar 13, 2017
Practice Location
- Address
- 1401 W 6TH AVE
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71601-3931
- Phone
- (870) 377-4095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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