Charles R Mettry in Ada - Adolescent Medicine
Charles R Mettry - NPI 1871581470
Charles R Mettry is a Adolescent Medicine in Ada, Oklahoma. Charles R Mettry practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Charles R Mettry is 1871581470. The last update date is 2009-08-17.
Charles R Mettry's current location address is 201 N Monte Vista St, Ada, Oklahoma. You can contact this provider via phone number 5804364200 and fax number 5804366423. The mailing address for Charles R Mettry is 201 N Monte Vista St, Ada, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles R Mettry |
|---|---|
| Address | 201 N Monte Vista St, Ada, Oklahoma |
| Phone Number | 5804364200 |
| Fax Number | 5804366423 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1871581470 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2009-08-17 |
Provider Mailing Address Detail
| Address | 201 N Monte Vista St |
|---|---|
| City | Ada |
| State | Oklahoma (OK) |
| Post Code | 748207213 |
| Phone Number | 5804364200 |
| Fax Number | 5804366423 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 2206 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38-2376906 | OK | FED ID | |
| 100111120A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charles R Mettry by the Centers for Medicare & Medicaid Services?
The Charles R Mettry has been issued the NPI (National Provider Identifier) 1871581470 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Charles R Mettry is physically located?
The Charles R Mettry is physically situated at the following address: 201 N Monte Vista St, Ada, OK, 748207213.
What is Charles R Mettry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles R Mettry is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.
When was the Charles R Mettry's 1871581470 issued?
The Charles R Mettry's 1871581470 was issued on 2005-10-10.
As of what date were the details pertaining to Charles R Mettry last refreshed?
The information related to the Charles R Mettry, including its address, specialty, and other relevant details, was last updated on 2009-08-17.
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