Provider Demographics
NPI:1144324443
Name:METZ, JOSEPH ALLAN (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ALLAN
Last Name:METZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 WEST MEMORIAL ROAD
Mailing Address - Street 2:#802
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120
Mailing Address - Country:US
Mailing Address - Phone:405-755-6720
Mailing Address - Fax:405-755-6732
Practice Address - Street 1:4200 WEST MEMORIAL ROAD
Practice Address - Street 2:#802
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120
Practice Address - Country:US
Practice Address - Phone:405-755-6720
Practice Address - Fax:405-755-6732
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9780207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E16498Medicare UPIN