Individual
BRUCE METZGAR THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 N POST RD STE 4, INDIANAPOLIS, IN 46219-4225
(317) 405-8833
(765) 446-9279
Mailing address
12466 BENT OAK LN, INDIANAPOLIS, IN 46236-7381
(317) 850-3446
(831) 618-7002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01040523
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490288
ANTHEM
IN
05
—
100334990
—
IN
01
—
P00445265
RAILROAD
IN
Enumeration date
08/03/2006
Last updated
12/02/2024
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