Charles R Mettry
D.O. | Pediatric Adolescent Medicine | Male
Charles R Mettry, D.O. is a Ada, Oklahoma based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Charles R Mettry is
201 N Monte Vista St, Suite B, Ada, Oklahoma - 74820-7200. He can be contacted on phone at
580-436-4200 and fax number 580-436-6423.
Charles R Mettry is a sole proprietor of his business.
NPI number (Unique professional ID) for Charles R Mettry is
1871581470 which was assigned by NPPES on 10 Oct, 2005 and it was last updated on 17 Aug, 2009.
Charles R Mettry license number is
2206 for Pediatrics Adolescent Medicine (2080A0000X) in Oklahoma.
Charles R Mettry 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.
Complete Profile:
Charles R Mettry basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Charles R Mettry |
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| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Charles R Mettry address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 201 N Monte Vista St, Suite B
Ada, OK, 74820-7200
United States |
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| Phone Number : | 580-436-4200 |
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| Fax Number : | 580-436-6423 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871581470 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Oct, 2005 |
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| Last Updated On : | 17 Aug, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles R Mettry are as mentioned. Primary taxonomy code for Charles R Mettry, D.O. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 2206 | OK |
Legacy Identifiers:
Other legacy medical identifiers of Charles R Mettry such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100111120A | MEDICAID | OK | |
| 38-2376906 | Other | OK | FED ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 201 N Monte Vista St, Suite B
Ada, OK, 74820-7213
United States |
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| Phone Number : | 580-436-4200 |
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| Fax Number : | 580-436-6423 |
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Business Location:
Patients can refer following map for directions to
Charles R Mettry practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.