Individual
MARY A METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
17 ROSAIRES WAY, LITTLE ROCK, AR 72223-9103
(501) 766-7762
(501) 868-4470
Mailing address
PO BOX 16474, LITTLE ROCK, AR 72231-6474
(501) 771-4370
(501) 327-9722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C00292
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59476
BLUE CROSS BLUE SHIELD
AR
01
—
P00193408
RAILROAD MEDICARE
AR
Enumeration date
10/06/2005
Last updated
03/28/2008
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